Individual
CONSTANCE ANN WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, B.S.
Contact information
Practice address
1804 WILLOW LAKES DR, SPRINGFIELD, OH 45502-7305
(937) 206-8017
Mailing address
1804 WILLOW LAKES DR, SPRINGFIELD, OH 45502-7305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.6585
OH
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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