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Individual

KELLY CUMMINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 W GRAND VALLEY AVE, ORWELL, OH 44076-9437
(440) 437-6260
Mailing address
4200 STATE RD, ASHTABULA, OH 44004-6017

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP. 10850
OH

Other

Enumeration date
02/11/2014
Last updated
02/11/2014
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