Individual
LAUREN BRACALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8740 ORION PL STE 110, COLUMBUS, OH 43240-4063
(614) 734-7777
(614) 388-5995
Mailing address
7298 GREENWOOD DR, SUNBURY, OH 43074-7614
(419) 560-3795
(614) 388-5995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14917
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP.14917
STATE BOARD
OH
Enumeration date
08/02/2022
Last updated
12/14/2023
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