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Individual

KIMBERLY ZIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
5436 QUANTAS PL, WOODBRIDGE, VA 22193-4593
(703) 347-2294
Mailing address
5436 QUANTAS PL, WOODBRIDGE, VA 22193-4593
(703) 347-2294

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006704
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004978277
VA
Enumeration date
11/19/2012
Last updated
05/19/2021
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