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1710458484
OLIVIA MICKOLA
MILWAUKIE, OR
NPI
1710458484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 015940)
Enumeration Date
2018-12-06
Last Update Date
2018-12-06
Business Address
OLIVIA MICKOLA M.S., CCC-SLP
2305 SE WASHINGTON ST STE 102
MILWAUKIE, OR 97222-7647
Phone number: 503-654-1014
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Mailing Address
OLIVIA MICKOLA M.S., CCC-SLP
2305 SE WASHINGTON ST STE 102
MILWAUKIE, OR 97222-7647
Phone number: 503-654-1014
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