Individual
JACLYNN GOSTOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N SUNSET DR, PIQUA, OH 45356-4440
(937) 339-5100
Mailing address
2000 W STANFIELD RD, TROY, OH 45373-2572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20201351-SP
OH
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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