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Individual

KATHLEEN KEAGGY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
38720 SALTWELL RD, LISBON, OH 44432-8303
(330) 424-9591
Mailing address
118 COURT ST, COLUMBIANA, OH 44408-1135
(330) 853-9834

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-6187
OH

Other

Enumeration date
10/22/2014
Last updated
08/21/2019
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