Individual
COREY SICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
710 N SUN DR, LAKE MARY, FL 32746-2507
(407) 805-3131
Mailing address
5724 BYRON ANTHONY PLACE #348, SANFORD, FL 32771
(954) 562-6279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ7439
FL
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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