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Individual
PAMELA ANN HIBBARD TIMREK
Active
Individual
PAMELA ANN HIBBARD TIMREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ASHA09125410
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09125410
ASHA# LICENSE FOR SPEECH LANGUAGE PATHOLOGY
—
Enumeration date
04/09/2009
Last updated
04/09/2009
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