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Individual

KIMBERLY LYNN SHAUGHNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16151 OLD FREDERICK RD, MOUNT AIRY, MD 21771-3337
(410) 489-6959
Mailing address
3019 FLINT HILL RD, ADAMSTOWN, MD 21710-9210
(501) 940-6986

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01623L
MD

Other

Enumeration date
01/04/2020
Last updated
01/04/2020
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