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Individual

ENAAM MYRIAM SHULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA SLP-CCC

Contact information

Practice address
2099 OLATHE BLVD MAILSTOP 4004, KANSAS CITY, KS 66160-0001
(913) 915-1998
Mailing address
2099 OLATHE BLVD MAILSTOP 4004, KANSAS CITY, KS 66160-0001
(913) 915-1998

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4328
KS

Other

Enumeration date
01/15/2020
Last updated
01/15/2020
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