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Individual
MS. JACQUELINE M KIMBALL
Active
Individual
MS. JACQUELINE M KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024400-1
NY
252Y00000X
Early Intervention Provider Agency
—
NY
Other
Enumeration date
01/02/2009
Last updated
01/13/2020
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