Individual
JODI S SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
8810 WOODRIDGE DR, FLORENCE, KY 41042-7708
(859) 801-4934
Mailing address
8810 WOODRIDGE DR, FLORENCE, KY 41042-7708
(859) 801-4934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
141564
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GN126
—
KY
Enumeration date
11/01/2017
Last updated
11/01/2017
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