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1205255635
ALICEN MICKLE
DANVILLE, VA
NPI
1205255635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202007223)
Enumeration Date
2014-04-14
Last Update Date
2014-04-14
Business Address
-- ALICEN MICKLE M.S./SLP-CF
2943 RIVERSIDE DR
DANVILLE, VA 24541-3436
Phone number: 434-799-7732
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Mailing Address
-- ALICEN MICKLE M.S./SLP-CF
541 BRIDGE ST APT. 404
DANVILLE, VA 24541-1405
Phone number:
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