Individual
KATELYN JENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 GRACE ST, MANSFIELD, OH 44905-2742
(419) 522-0471
Mailing address
2896 ISLAND CREEK DR, MEDINA, OH 44256-6792
(419) 564-5010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.20191187-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.14251
OH
Other
Enumeration date
08/21/2019
Last updated
04/13/2021
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