Individual
KIM P WESELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 PALMETTO DR, MYRTLE BEACH, SC 29577-5944
(843) 455-7505
(866) 668-9946
Mailing address
2925 CARRIAGE ROW LN UNIT 120, MYRTLE BEACH, SC 29577-2104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3981
SC
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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