Individual
JUDY MARIE MIKOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7702
Mailing address
2826 RENFREW ST, ANN ARBOR, MI 48105-1452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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