Individual
MS. KIMBERLY MARIE SKRUM HEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
901 MULBERRY ST, LAKE MILLS, WI 53551-1335
(608) 648-3144
Mailing address
N3269 HOOKER RD., POYNETTE, WI 53955-9257
(608) 635-2807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2376-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42567900
—
WI
Enumeration date
05/10/2007
Last updated
07/08/2007
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