Individual
KIMBERLY BEACH STOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
804 S MUMAUGH RD, LIMA, OH 45804-3569
(419) 225-9040
Mailing address
5159 SHOSHONE TRL, LIMA, OH 45805-4117
(303) 520-1592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7460
OH
Other
Enumeration date
07/17/2013
Last updated
04/07/2015
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