Individual
KATIE LORE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 W SCHOOL ST, KENT, OH 44240-3763
(330) 676-8400
Mailing address
132 W SCHOOL ST, KENT, OH 44240-3763
(330) 676-8400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
01/25/2024
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