Individual
ALICEN MICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S./SLP-CF
Contact information
Practice address
2943 RIVERSIDE DR, DANVILLE, VA 24541-3436
(434) 799-7732
Mailing address
541 BRIDGE ST, APT. 404, DANVILLE, VA 24541-1405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007223
VA
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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