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Individual

JAMIE M BROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3916 PERKINS AVE, HURON, OH 44839-1059
(419) 627-8733
Mailing address
3916 PERKINS AVE, HURON, OH 44839-1059
(419) 627-8733

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20222241-SLP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
983087717
BLUE SKY THERAPY
OH
Enumeration date
01/30/2023
Last updated
01/30/2023
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