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JUSTINE ANN KAHLE

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1114569852

Individual Registrant:
 JUSTINE ANN KAHLE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
420 E 4TH ST  SPENCERVILLE, OH 45887-1235 US
Tel: 419-647-4115  Fax: --

Contact information for business:
17278 ROAD L  OTTAWA, OH 45875-8412 US
Tel: 419-233-1761  Fax: --

Registration Information:
NPI: 1114569852
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
OHCOND.20191010-SP

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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