Individual
KIMBERLY ANNIE BACKUS-MCCLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
825 SUMMIT ST, SPENCER, WV 25276-1035
(304) 927-1007
Mailing address
825 SUMMIT ST, SPENCER, WV 25276-1035
(304) 927-1007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0457
WV
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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