Individual
LESLEY JILL FUTTERKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SLP CCC
Contact information
Practice address
100 E DOMINION BLVD, COLUMBUS, OH 43214-2756
(352) 870-9743
Mailing address
100 E DOMINION BLVD, COLUMBUS, OH 43214-2756
(352) 870-9743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.09628
OH
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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