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Individual
MELODIE GRAY ROACH
Active
Individual
MELODIE GRAY ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP, RAC-CT
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.04193
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148005
—
OH
01
—
11508487
CAQH
OH
Enumeration date
07/18/2006
Last updated
11/07/2019
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