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Individual

MIKKI RAKESTROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1331 E REDFIELD RD, TEMPE, AZ 85283-5733
(480) 541-4908
Mailing address
8700 S KYRENE RD, TEMPE, AZ 85284-2197
(480) 541-4908

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP12028
AZ

Other

Enumeration date
09/25/2020
Last updated
09/25/2020
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