Individual
KYLIE CICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3939 WRENWOOD RD, TOLEDO, OH 43623-1762
(419) 671-5199
Mailing address
2275 COLLINGWOOD BLVD, TOLEDO, OH 43620-1100
(419) 245-4150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.12009
OH
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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