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1013310531
KELLY WONITOWY
PORTLAND, OR
NPI
1013310531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 12405)
Enumeration Date
2014-09-29
Last Update Date
2014-09-29
Business Address
-- KELLY WONITOWY MS, CCC-SLP
1406 SE 85TH AVE
PORTLAND, OR 97216-1324
Phone number: 971-227-0523
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Mailing Address
-- KELLY WONITOWY MS, CCC-SLP
1406 SE 85TH AVE
PORTLAND, OR 97216-1324
Phone number: 971-227-0523
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