Individual
KRISTINE M HEATWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
400 PRINCE ST, SALISBURY, MD 21804-6020
(410) 677-5813
Mailing address
400 PRINCE ST, SALISBURY, MD 21804-6020
(410) 677-5813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05637
MD
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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