KERRY FORMICK

RAVENNA, OH
NPI1457749335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OH  SP-4777)
Enumeration Date2014-12-31
Last Update Date2014-12-31
Business Address
-- KERRY FORMICK M. A., CCC-SLP
1071 JONES ST
RAVENNA, OH 44266-1413
Phone number: 330-297-1744
Mailing Address
-- KERRY FORMICK M. A., CCC-SLP
3590 STATE ROUTE 59
RAVENNA, OH 44266-1380
Phone number: 330-297-6708