MIKENZI FORD

LOGAN, UT
NPI1154023562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  10836855-4102)
Enumeration Date2023-03-20
Last Update Date2023-03-20
Business Address
MIKENZI FORD MS, CCC-SLP
500 E 1400 N
LOGAN, UT 84341-8434
Phone number: 435-716-1000
Mailing Address
MIKENZI FORD MS, CCC-SLP
PO BOX 567
MILLVILLE, UT 84326-0567
Phone number: 435-820-0055
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