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Individual

MRS. KIMBERLY DAWN IRELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC SLP

Contact information

Practice address
503 S LEXINGTON ST, HARRRISONVILLE PUBLIC SCHOOL, HARRISONVILLE, MO 64701-2415
(816) 380-2727
(816) 380-3134
Mailing address
503 S LEXINGTON ST, HARRISONVILLE, MO 64701-2415
(816) 380-2727
(816) 380-3134

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005006163
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
466297702
MO
Enumeration date
03/19/2007
Last updated
02/20/2009
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