Individual
STEPHANIE A MIKLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
7201 WADE PARK AVE, CLEVELAND, OH 44103-2765
(216) 361-6141
Mailing address
7201 WADE PARK AVE, CLEVELAND, OH 44103-2765
(216) 361-6141
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9273
OH
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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