Individual
MICKENZIE PLINSKA GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 THOMPSON ST, ASHLAND, VA 23005-1128
(952) 270-2725
Mailing address
906 THOMPSON ST, ASHLAND, VA 23005-1128
(952) 270-2725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
032753
NY
235Z00000X
Speech-Language Pathologist
Primary
2202010749
VA
235Z00000X
Speech-Language Pathologist
P113840
NY
Other
Enumeration date
02/04/2022
Last updated
02/17/2023
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