Individual
MRS. KRISTI MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
101 13TH ST, HUNTINGTON, WV 25701-1653
(304) 696-6939
(304) 529-1366
Mailing address
1005 TRUDE CT, CATLETTSBURG, KY 41129-9069
(606) 739-9852
(606) 739-9852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0858
WV
235Z00000X
Speech-Language Pathologist
2303
KY
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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