Individual
MRS. KRISTIN LAWRENCE SHUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
111 S BROADWAY, PENNSVILLE, NJ 08070-2038
(856) 678-4701
(856) 678-4702
Mailing address
111 S BROADWAY, PENNSVILLE, NJ 08070-2038
(856) 678-4701
(856) 678-4702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00637500
NJ
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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