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Individual

MRS. EMILY K QUADE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MA,CCC,SLP

Contact information

Practice address
1929A E ROYALTON RD, BROADVIEW HTS, OH 44147-2809
(440) 838-0990
(440) 838-8440
Mailing address
603 E LIBERTY ST, MEDINA, OH 44256-2049
(330) 723-2035

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-4888
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0849916
OH
01
314380051026
CARESOURCE INS. CO.
OH
Enumeration date
03/22/2006
Last updated
07/09/2007
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