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Individual

JEAN M HRUSCHAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC SLP

Contact information

Practice address
6342 TAMWORTH CT, DUBLIN, OH 43017-1739
(614) 746-8390
Mailing address
6342 TAMWORTH CT, DUBLIN, OH 43017-1739
(614) 746-8390
(614) 746-8390

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2933
OH
235Z00000X
Speech-Language Pathologist
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01018758
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
01
2933
SPEECH PATHOLOGY LICENSE
OH
Enumeration date
01/12/2018
Last updated
06/16/2018
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