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Individual

KIM SCHULENBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
100 SUNNYSIDE RD, SMYRNA, DE 19977-1752
(302) 223-1284
Mailing address
307 INDIA DR, SMYRNA, DE 19977-4825

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01-0000924
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12055657
ASHA
DE
Enumeration date
06/18/2015
Last updated
06/18/2015
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