Individual
KIMCHIT DEVORAH SHALIYEHSABOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7110 BOXFORD RD, BALTIMORE, MD 21215-1704
(818) 605-9788
Mailing address
7110 BOXFORD RD, BALTIMORE, MD 21215-1704
(818) 605-9788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
12/13/2022
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