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1174754261
KELLY A PETERS
MERRILLVILLE, IN
NPI
1174754261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 220004869A)
Enumeration Date
2009-08-06
Last Update Date
2019-08-15
Business Address
MS. KELLY A PETERS MA
1579 E 85TH AVE
MERRILLVILLE, IN 46410-8901
Phone number: 219-525-4973
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Mailing Address
MS. KELLY A PETERS MA
11517 HANLEY ST
CROWN POINT, IN 46307-8731
Phone number: 219-405-3244
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