Individual
AYANA LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
797 TOWLER DR, BLACKLICK, OH 43004-7063
(330) 309-7840
Mailing address
797 TOWLER DR, BLACKLICK, OH 43004-7063
(330) 309-7840
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10028
OH
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
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