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Individual

DENICE J MOBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, MS

Contact information

Practice address
150 OAK KNOLL DR, DAYTON, OH 45419-1363
(937) 299-2062
Mailing address
150 OAK KNOLL DR, DAYTON, OH 45419-1363
(937) 299-2062

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-0159
OH

Other

Enumeration date
10/13/2008
Last updated
11/02/2009
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