Individual
DR. SANDRA LOTSHAW MICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
(406) 447-6000
Mailing address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2017008168
MO
Other
Enumeration date
02/06/2007
Last updated
11/25/2019
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