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Individual

MICHELLE MIRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
343 ELM ST STE 308, RENO, NV 89503-4540
(775) 227-0455
Mailing address
530 E PATRIOT BLVD APT 401, RENO, NV 89511-1288
(702) 461-0470

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3941
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891455309
NV
Enumeration date
09/22/2025
Last updated
10/01/2025
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