Individual
JESSICA DENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 JEFFERSON ST., PAINESVILLE, OH 44077
(216) 485-8100
Mailing address
58 JEFFERSON ST., PAINESVILLE, OH 44077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 10562
OH
Other
Enumeration date
04/07/2014
Last updated
08/20/2019
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