Individual
MRS. KRISTEN T RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
159 MARBROOK DR, KETTERING, OH 45429-5436
(937) 416-2681
Mailing address
159 MARBROOK DR, KETTERING, OH 45429-5436
(193) 741-6268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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