SOREN B MICKELSEN

PHOENIX, AZ
NPI1902424179
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  SLP11576)
Enumeration Date2020-07-13
Last Update Date2022-08-12
Business Address
Mr. SOREN B MICKELSEN M.A., CCC-SLP
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-1000
Mailing Address
Mr. SOREN B MICKELSEN M.A., CCC-SLP
2307 W WELDON AVE
PHOENIX, AZ 85015-5452
Phone number: 623-330-3839
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