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1124697602
KELLY MCDANIEL
FORT WORTH, TX
NPI
1124697602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 117183)
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
KELLY MCDANIEL CCC-SLP
4400 OAK PARK LN
FORT WORTH, TX 76109-9534
Phone number: 469-892-7500
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Mailing Address
KELLY MCDANIEL CCC-SLP
3964 WATERCOURSE DR APT 1437
FORT WORTH, TX 76109-2089
Phone number: 432-940-6912
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