Individual
LAURIE DODEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 GREEN RIDGE LN, POWELL, OH 43065-9793
(614) 403-1052
Mailing address
78 GREEN RIDGE LN, POWELL, OH 43065-9793
(614) 403-1052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-5074
OH
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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