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Individual

MRS. BETH MIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
2525 HOLTON RD, GROVE CITY, OH 43123-8985
(614) 801-8025
Mailing address
6488 PORTAGE PATH CT, GROVE CITY, OH 43123-9584
(614) 539-1104

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 4020
OH

Other

Enumeration date
03/07/2014
Last updated
03/07/2014
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