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Individual

KRISTIN LINDBOOM-BROBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
625 WALNUT ST, MCKEESPORT, PA 15132-2806
(412) 673-5005
Mailing address
310 FISK ST, PITTSBURGH, PA 15201-1708

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013550
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194207035
PA
Enumeration date
09/06/2018
Last updated
03/22/2021
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