Individual
JACKLYN GLADIEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4708 WHITEFORD RD, TOLEDO, OH 43623-2763
(419) 824-8616
Mailing address
509 E INDIANA AVE, PERRYSBURG, OH 43551-2214
(419) 824-8616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.12701
OH
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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