Individual
KIMBERLY HEDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17407 CRESTVIEW CT, MONUMENT, CO 80132-7167
(719) 481-9104
Mailing address
17407 CRESTVIEW CT, MONUMENT, CO 80132-7167
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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