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Individual

KENDRAH T BETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
214 BLUEGLADE DR, SUNBURY, OH 43074-7618
(614) 547-2511
Mailing address
1491 POLARIS PKWY STE 86, COLUMBUS, OH 43240-2041
(614) 547-2511

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP.10726
OH
235Z00000X
Speech-Language Pathologist
Primary
SP10726
OH

Other

Enumeration date
03/10/2015
Last updated
10/06/2020
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