LISA ILENE MICKLE

DIX HILLS, NY
NPI1003192766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  005887-1)
Enumeration Date2011-10-26
Last Update Date2011-10-26
Business Address
Mrs. LISA ILENE MICKLE SLP,CCC
525 HALF HOLLOW RD
DIX HILLS, NY 11746-5828
Phone number: 631-592-3000
Mailing Address
Mrs. LISA ILENE MICKLE SLP,CCC
525 HALF HOLLOW RD
DIX HILLS, NY 11746-5828
Phone number: 631-592-3300
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