MICAH ANDERSON

CRESTVIEW, FL
NPI1982389367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SZ11334)
Enumeration Date2023-06-21
Last Update Date2023-06-21
Business Address
MICAH ANDERSON
803 N WILSON ST
CRESTVIEW, FL 32536-2639
Phone number: 850-226-8279
Mailing Address
MICAH ANDERSON
1200 CROSSWINDS LNDG
FORT WALTON BEACH, FL 32547-1174
Phone number: 850-226-8279