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1154022739
ALEXANDRA KELLY
STATEN ISLAND, NY
NPI
1154022739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 032305-01)
Enumeration Date
2023-03-13
Last Update Date
2023-03-13
Business Address
ALEXANDRA KELLY
2907 AMBOY RD
STATEN ISLAND, NY 10306-2008
Phone number: 347-896-5955
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Mailing Address
ALEXANDRA KELLY
25 LYNBROOK CT
STATEN ISLAND, NY 10309-4510
Phone number: 917-841-6409
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