Individual
MS. KIMBERLY JOYCE HUETER GILWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP, JD
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4679
Mailing address
5712 HIGHWAY 234, CENTRAL POINT, OR 97502-9313
(541) 826-7998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12250
OR
Other
Enumeration date
11/08/2008
Last updated
11/08/2008
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