Individual
MRS. HAILEY JILLEEN MICKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
352 E CAMELBACK RD, SUITE 102, PHOENIX, AZ 85012-1646
(602) 212-9000
(602) 277-5042
Mailing address
352 E CAMELBACK RD, SUITE 102, PHOENIX, AZ 85012-1646
(602) 212-9000
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7535
AZ
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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