Individual
MRS. KIMBERLY DEMICHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
439 LAKE SHORE DR, LEBANON, OH 45036-7929
(513) 228-0025
Mailing address
439 LAKE SHORE DR, LEBANON, OH 45036-7929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.6144
OH
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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