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1053713131
ELLEN KELLOGG
PALM COAST, FL
NPI
1053713131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA10093)
Enumeration Date
2014-09-21
Last Update Date
2014-09-21
Business Address
-- ELLEN KELLOGG M.A.CCC-SLP
393 PALM COAST PKWY SW
PALM COAST, FL 32137-4773
Phone number: 585-202-2745
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Mailing Address
-- ELLEN KELLOGG M.A.CCC-SLP
PO BOX 748
FLAGLER BEACH, FL 32136-0748
Phone number: 585-202-2745
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