Individual
COURTNEY MICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
9231 HAMER RD, GEORGETOWN, OH 45121-1527
(937) 378-6118
Mailing address
1147 YELLOW RIBBON DR, AMELIA, OH 45102-1032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20242904-SP
OH
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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