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Individual

IRISARILU SANDOVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
222 N 5TH ST STE 201, MARTINS FERRY, OH 43935-1582
(304) 243-8310
(304) 243-8430
Mailing address
222 N 5TH ST STE 201, MARTINS FERRY, OH 43935-1582
(304) 243-8310
(304) 243-8430

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP13858
OH

Other

Enumeration date
06/24/2020
Last updated
01/19/2021
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