Individual
LAUREN BLAKE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3430 BURNET AVE # 4011, CINCINNATI, OH 45229-2833
(513) 803-9371
Mailing address
3430 BURNET AVE # 4011, CINCINNATI, OH 45229-2833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.12899
OH
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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