Individual
AVERY MACESICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6057 STRIP AVE NW, NORTH CANTON, OH 44720-9207
(330) 492-8136
Mailing address
6057 STRIP AVE NW, NORTH CANTON, OH 44720-9207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20253212-SP
OH
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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