Individual
KIMBERLY LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
657 N 22ND ST, PHILADELPHIA, PA 19130-3141
(215) 791-3786
Mailing address
657 N 22ND ST, PHILADELPHIA, PA 19130-3141
(215) 791-3786
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14361333
PA
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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