Individual
KIMBERLI R CONSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S RITCHIE AVE, RAVENSWOOD, WV 26164-1721
(304) 273-9385
Mailing address
3309 JAMES ST, PARKERSBURG, WV 26104-2601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0021
WV
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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