Individual
DANA LEE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N HIGH ST, GAHANNA, OH 43230-3069
(614) 401-4644
Mailing address
2068 LEHNER RD, COLUMBUS, OH 43224-2368
(440) 251-2949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20211739-SP
OH
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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