Individual
MICHELLE KRISTEN NIMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1881 TELEGRAPH RD, RISING SUN, MD 21911-2018
(410) 658-6555
Mailing address
2612 BRADWELL CT, PARKVILLE, MD 21234-1519
(631) 495-6456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06051
MD
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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