Individual
MS. DANI LYNNE MICKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 CENTRAL AVE, KEARNEY, NE 68847-2942
(308) 234-1888
Mailing address
1504 E 57TH STREET PL, KEARNEY, NE 68847-1550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1799
NE
Other
Enumeration date
11/16/2012
Last updated
09/23/2019
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