Individual
ASPEN MICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BERNARD RD, ROCKY MOUNT, VA 24151-6614
(540) 483-0280
Mailing address
2165 WAYSIDE RD, STUART, VA 24171-2528
(276) 692-6232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202010054
VA
Other
Enumeration date
08/11/2020
Last updated
10/16/2024
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