Individual
MRS. KENDALL MARIE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6057 STRIP AVE NW, NORTH CANTON, OH 44720-9207
(330) 492-8136
Mailing address
4515 LINDFORD AVE NE, CANTON, OH 44705-2940
(330) 933-7945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND-2011165
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3055563
—
OH
Enumeration date
12/21/2010
Last updated
02/28/2019
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