Individual
KRYSTAL LYNN AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 TOWNSHIP ROAD 1138, PROCTORVILLE, OH 45669-8713
(304) 785-3925
Mailing address
51 TOWNSHIP ROAD 1138, PROCTORVILLE, OH 45669-8713
(304) 785-3925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0930
WV
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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