Individual
JACLYN NICOLE ROELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3750 FAR HILLS AVE, KETTERING, OH 45429-2506
(937) 499-1400
Mailing address
364 GRAND AVE, CINCINNATI, OH 45205-2222
(513) 617-2519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND. 2015218
OH
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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