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Individual

EMILY EBBESKOTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 SHAWNEE RD, LIMA, OH 45805-3529
(419) 999-2010
(419) 999-6284
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3583
(419) 999-2010
(419) 999-6284

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.12951
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0413432
OH
Enumeration date
06/20/2017
Last updated
08/30/2022
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