Individual
KYLEE BETH WEIDENBENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
1910 WHITENER ST, CAPE GIRARDEAU, MO 63701-5239
(573) 334-2923
Mailing address
1945 DELWIN ST APT 6, CAPE GIRARDEAU, MO 63701-2377
(618) 540-5892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
10/09/2024
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