Individual
BRIDGETTE MIKKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23400 MICHIGAN AVE STE P40, DEARBORN, MI 48124-1928
(313) 689-5188
Mailing address
2768 PARKWAY CIR, STERLING HEIGHTS, MI 48310-7123
(931) 626-3010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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