Individual
MRS. MARGARET MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP, AVT
Contact information
Practice address
1148 COLDIRON HEIGHTS, BAXTER, KY 40831
(606) 573-6052
(606) 573-4030
Mailing address
PO BOX 1001, HARLAN, KY 40831-1001
(606) 574-1430
(606) 573-4030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3087
KY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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