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1174586838
KATHLEEN ELLEN DERGA
MEDINA, OH
NPI
1174586838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OH SP.02499)
Enumeration Date
2006-04-11
Last Update Date
2019-11-06
Business Address
Mrs. KATHLEEN ELLEN DERGA MACCC/SLP
435 W LIBERTY ST
MEDINA, OH 44256-2221
Phone number: 216-749-6650
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Mailing Address
Mrs. KATHLEEN ELLEN DERGA MACCC/SLP
5000 ROCKSIDE RD STE 500
INDEPENDENCE, OH 44131-2178
Phone number: 216-459-2846
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