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Kymerie Kyoko Henson

Speech-Language Pathologist, in Sacramento, CA. Individual provider (NPI-1).

NPI number1386805083
StatusActive
Last updated in NPPESJun 24, 2008

Details

NPI
1386805083
Entity type
Individual (NPI-1)
Name
Kymerie Kyoko Henson
Sex
Female
Sole proprietor
No
Enumeration date
Jun 24, 2008
Last updated
Jun 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SP12603CAYes

Practice location

7801 Rush River Dr
Sacramento, CA 95831-4602

Phone 916-428-2113

Mailing address

7801 Rush River Dr
Sacramento, CA 95831-4602

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