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Individual

JOHANNA LOUISE VAN WINKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
411 OAK ST, CINCINNATI, OH 45219-2504
(513) 984-1800
(513) 984-4909
Mailing address
6300 COOPER HOLLOW RD, MONMOUTH, OR 97361-9709
(503) 623-3294

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11468
OR

Other

Enumeration date
08/31/2009
Last updated
08/31/2009
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