Individual
MELODY VARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
196 N PROSPECT ST, KENT, OH 44240-2281
(330) 676-7409
Mailing address
1025 CAROL LANE, TALLMADGE, OH 44278
(330) 633-3275
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
KU1039522
OH
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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