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1629420104
SERENA MICKELSON
AUSTIN, TX
NPI
1629420104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 110754)
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
-- SERENA MICKELSON M.S., CCC-SLP
4506 S 2ND ST
AUSTIN, TX 78745-1960
Phone number: 512-312-8938
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Mailing Address
-- SERENA MICKELSON M.S., CCC-SLP
4506 S 2ND ST
AUSTIN, TX 78745-1960
Phone number: 512-312-8938
Copy
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