Individual
MRS. JESSICA LINDSEY MANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4872 MARIEVIEW CT, CINCINNATI, OH 45236-2068
(513) 615-9085
Mailing address
6704 MIAMI AVE, 4, CINCINNATI, OH 45243-3128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9009
OH
Other
Enumeration date
06/25/2010
Last updated
06/03/2021
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