Individual
MRS. ABBY GRACE WAIDELICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6950 INDEPENDENCE RD, DEFIANCE, OH 43512-9030
(567) 444-4825
Mailing address
205 NOLAN PKWY, ARCHBOLD, OH 43502-8404
(567) 444-4800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20232335-SP
OH
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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