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Individual

AUDREY KEOKUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
900 CLUB DR, WESTERVILLE, OH 43081-4909
(614) 899-2838
Mailing address
140 S HIGH ST APT 314, COLUMBUS, OH 43215-3586
(317) 205-7111

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/08/2022
Last updated
07/08/2022
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