Individual
DOMINIQUE MIKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3160 N ARIZONA AVE STE 105, CHANDLER, AZ 85225-7122
(480) 365-9981
Mailing address
3160 N ARIZONA AVE STE 105, CHANDLER, AZ 85225-7122
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12785
AZ
Other
Enumeration date
01/11/2021
Last updated
01/25/2021
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