Individual
CAROLYN SEBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9688 SANDY RUN DR, WAYNESVILLE, OH 45068-8385
(937) 902-1831
Mailing address
9688 SANDY RUN DR, WAYNESVILLE, OH 45068-8385
(937) 902-1831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10043
OH
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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