Individual
JACQUELINE C KOSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 CHURCHILL HUBBARD RD, YOUNGSTOWN, OH 44505-1346
(330) 759-5704
(330) 759-8709
Mailing address
1325 CHURCHILL HUBBARD RD, YOUNGSTOWN, OH 44505-1346
(330) 759-5704
(330) 759-8709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND2009039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2577162
—
OH
Enumeration date
08/08/2008
Last updated
08/08/2008
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