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Organization
LAKEWOOD LOCAL SCHOOLS
Active
Organization
LAKEWOOD LOCAL SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY GAULT (SUPERINTENDENT)
(740) 928-5878
Entity
Organization
Contact information
Practice address
525 E MAIN ST, HEBRON, OH 43025-9702
(740) 928-5878
(740) 928-3152
Mailing address
525 E. MAIN STREET, PO BOX 70, HEBRON, OH 43025
(740) 928-5878
(740) 928-3152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP6373
OH
235Z00000X
Speech-Language Pathologist
Primary
SP6465
OH
235Z00000X
Speech-Language Pathologist
SP6574
OH
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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