Individual
MRS. KIMERLY ANN PAWLICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
504 BLUE HERON DR, NEWPORT, NC 28570-8008
(419) 346-2170
Mailing address
504 BLUE HERON DR, NEWPORT, NC 28570-8008
(419) 346-2170
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1195007
NC
103TS0200X
School Psychologist
SP0000001109418
MI
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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