Individual
JILL MARIE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
750 CHESTNUT ST, GREENVILLE, OH 45331-1312
(937) 547-8000
Mailing address
307 E FRONT ST, NEW BREMEN, OH 45869-1215
(419) 629-2545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 14179
CA
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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