Individual
JACLYN WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16695 CHILLICOTHE RD, CHAGRIN FALLS, OH 44023-4578
(440) 543-4221
Mailing address
8291 CEDAR RD, CHESTERLAND, OH 44026-3509
(440) 840-1712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10107
OH
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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