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1093577363
KELLY LONG
GREENVILLE, SC
NPI
1093577363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 7831)
Enumeration Date
2024-01-23
Last Update Date
2024-03-15
Business Address
KELLY LONG
29 N ACADEMY ST
GREENVILLE, SC 29601-2629
Phone number: 864-331-1350
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Mailing Address
KELLY LONG
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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