Individual
MS. MIRIAM E DOMROESE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1412 MIAMI CT S, PLAINFIELD, IN 46168-2134
(317) 839-3564
Mailing address
1412 MIAMI CT S, PLAINFIELD, IN 46168-2134
(317) 839-3564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22000071
IN
Other
Enumeration date
05/22/2007
Last updated
09/09/2011
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