Individual
CHASATTEE MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
307 UPTON ST, WINSTON SALEM, NC 27103-1735
(336) 837-4222
(336) 376-7711
Mailing address
307 UPTON ST, WINSTON SALEM, NC 27103-1735
(336) 837-4222
(336) 376-7711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7357
NC
Other
Enumeration date
03/19/2007
Last updated
03/31/2023
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