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1104386390
DEBRA MIKKELSON
LEAVENWORTH, KS
NPI
1104386390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: KS 1386)
Enumeration Date
2019-03-22
Last Update Date
2023-11-27
Business Address
DEBRA MIKKELSON MA,CCC-SLP
3501 NEW LAWRENCE RD
LEAVENWORTH, KS 66048-5223
Phone number: 913-246-1078
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Mailing Address
DEBRA MIKKELSON MA,CCC-SLP
3501 NEW LAWRENCE RD
LEAVENWORTH, KS 66048-5223
Phone number: 913-684-1530
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