Individual
JENNIFER RAE PROCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 W 130TH ST, NORTH ROYALTON, OH 44133-1011
(440) 237-3104
Mailing address
9001 W 130TH ST, NORTH ROYALTON, OH 44133-1011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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