Individual
MRS. ADRIAN MAMIKONIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
10212 CEDAR ELM DR, LAKELAND, TN 38002-5170
(858) 342-9427
Mailing address
10212 CEDAR ELM DR, LAKELAND, TN 38002-5170
(858) 342-9427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7344
TN
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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