Individual
JACQUELINE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 C CT, ASHTABULA, OH 44004-4575
(440) 536-4176
(440) 536-4187
Mailing address
1520 RIVERSIDE DR, PAINESVILLE, OH 44077-5180
(440) 749-1353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12925
OH
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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