Individual
MS. KIMBERLY SUE STILLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
103 MAIN ST UNIT 2201, STONINGTON, CT 06378-1280
(617) 216-4829
Mailing address
103 MAIN ST UNIT 2201, STONINGTON, CT 06378-1280
(617) 216-4829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007102
CT
235Z00000X
Speech-Language Pathologist
SLP3656
MA
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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