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1114249646
MATTHEW TODD KELLY
SANTA FE, NM
NPI
1114249646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM C-4614)
Enumeration Date
2010-02-25
Last Update Date
2016-06-16
Business Address
Mr. MATTHEW TODD KELLY M.A. CCC-SLP
1919 5TH ST
SANTA FE, NM 87505-5402
Phone number: 505-204-8919
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Mailing Address
Mr. MATTHEW TODD KELLY M.A. CCC-SLP
3 PRAIRIE CREST DR
SANTA FE, NM 87508-1314
Phone number: 505-204-8919
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