Individual
JACQUELINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 CHESTNUT ST, FREMONT, OH 43420-4312
(419) 332-1511
Mailing address
5216 MCCARTNEY RD, SANDUSKY, OH 44870-1528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 9320
OH
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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