Individual
MRS. KIMBERLY SUE LUCKRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
3057 CLEVELAND AVE SW, CANTON, OH 44707-3625
(330) 484-2547
Mailing address
2735 DUANE AVE NW, MASSILLON, OH 44647
(330) 904-4972
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-5323
OH
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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