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Individual
MRS. ASHLEY NICOLE BLACK
Active
Individual
MRS. ASHLEY NICOLE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.13448
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14323703
ASHA
—
01
—
COND.2018630-SP
OHIO SPEECH LANGUAGE THERAPY LICENSE NUMBER
OH
01
—
SP.13448
OHIO SPEECH LANGUAGE THERAPY LICENSE NUMBER
OH
Enumeration date
11/14/2018
Last updated
05/27/2020
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