Individual
ABIGAIL DETHERAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1743 ADAMS RD, CINCINNATI, OH 45231-3134
(513) 728-4683
Mailing address
5004 ALVERNOVALLEY CT, CINCINNATI, OH 45238-6004
(513) 478-5257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14200
OH
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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