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Individual

EMILY N. MICKELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
815 E WARNER RD STE 106, CHANDLER, AZ 85225-1057
(480) 963-5800
(480) 963-5805
Mailing address
815 E WARNER RD STE 106, CHANDLER, AZ 85225-1057

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10914
AZ

Other

Enumeration date
01/08/2018
Last updated
01/08/2018
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