Individual
JACKLYN ODETTE ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
9701 WHIPPS MILL RD, LOUISVILLE, KY 40223-1103
(502) 919-8470
Mailing address
3734 CHATHAM RD, LOUISVILLE, KY 40218-4747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
286088
KY
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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