Individual
JACQUIE RAIFSNIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 NORTH ST, BELLEVUE, OH 44811-1423
(419) 484-5050
Mailing address
6520 COUNTY ROAD 205, BELLEVUE, OH 44811-8710
(419) 483-2184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3729
OH
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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