Individual
MRS. STACEY NICOLE MILLIKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1208 WOODBRIDGE LN, INDIANAPOLIS, IN 46260-1241
(317) 817-0353
(317) 817-0353
Mailing address
1208 WOODBRIDGE LN, INDIANAPOLIS, IN 46260-1241
(317) 817-0353
(317) 817-0353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004074A
IN
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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