Individual
KOREEN LUCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
4700 MASSILLON RD, NORTH CANTON, OH 44720-1166
(330) 896-9119
Mailing address
4700 MASSILLON RD, NORTH CANTON, OH 44720-1166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP. 11045
OH
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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