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Individual

CHRISTINE M LUNDMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1004 MAPLE AVE, WILMINGTON, DE 19809-3015
(302) 562-3120
(302) 454-5443
Mailing address
1004 MAPLE AVE, WILMINGTON, DE 19809-3015
(302) 562-3120
(302) 454-5443

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O1-0000707
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001087167
DE
Enumeration date
03/19/2008
Last updated
03/19/2008
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