Individual
ANNACLAIRE LACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257A COUNTY ROAD 40, SULLIVAN, OH 44880-9731
(419) 736-3300
Mailing address
1412 RIDGEWOOD AVE APT 1, LAKEWOOD, OH 44107-5059
(513) 498-7324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20232581-SP
OH
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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