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Individual

AMY R COMMON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
6847 N CHESTNUT ST, STE 100, RAVENNA, OH 44266-3929
(330) 297-2770
(330) 297-8833
Mailing address
533 E MAIN ST, RAVENNA, OH 44266-3218
(330) 297-9020
(330) 297-9095

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4271
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP4271
OHIO BOARD OF SPEECH LANG
OH
Enumeration date
10/25/2005
Last updated
07/08/2007
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