Indiana
Professional Licensing Agency
Kimberly Kristine Blum
Speech Pathologist
License number
22005195A
Date granted
12/07/2010
Date expires
12/31/2015
Class
Speech Pathologist
Status
Active
Address
Fort Wayne IN 46814
indianalicensing.org
ID 8628206
LAST UPDATED 2024-03-09 19:31:11 UTC
LAST UPDATED 2024-03-09 19:31:11 UTC
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