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Individual
NANCY THEOFRASTOUS
Active
Individual
NANCY THEOFRASTOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7439
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013018
—
OH
Enumeration date
02/13/2007
Last updated
10/21/2020
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