Individual
JODI NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 EDISON BLVD, XENIA, OH 45385-2253
(937) 562-9706
Mailing address
425 EDISON BLVD, XENIA, OH 45385-2253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10138
OH
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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