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1104884378
KELLY ANN FAIRRIS
DYER, IN
NPI
1104884378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22004186A)
Enumeration Date
2006-05-03
Last Update Date
2021-09-30
Business Address
Mrs. KELLY ANN FAIRRIS MA CCC SLP
440 EDMOND DR
DYER, IN 46311-1523
Phone number: 219-322-1415
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Mailing Address
Mrs. KELLY ANN FAIRRIS MA CCC SLP
440 EDMOND DR
DYER, IN 46311-1523
Phone number: 219-322-1415
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