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1083904072
KELLEY KNYTYCH
SAN DIEGO, CA
NPI
1083904072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 14128)
Enumeration Date
2011-04-12
Last Update Date
2011-04-12
Business Address
-- KELLEY KNYTYCH SLP
1631 EDGEMONT ST
SAN DIEGO, CA 92102-1603
Phone number: 619-302-9188
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Mailing Address
-- KELLEY KNYTYCH SLP
9 LACRUE AVE SUITE 210
GLEN MILLS, PA 19342-1062
Phone number: 800-578-7906
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