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1194218610
KELLY SUE SOUTHMAYD
BRANDON, FL
NPI
1194218610
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Former Name
KELLY SUE REINERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA11605)
Enumeration Date
2018-06-09
Last Update Date
2018-06-12
Business Address
KELLY SUE SOUTHMAYD MS, CCC-SLP
602 VONDERBURG DR
BRANDON, FL 33511
Phone number: 813-653-1149
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Mailing Address
KELLY SUE SOUTHMAYD MS, CCC-SLP
602 VONDERBURG DR STE 201
BRANDON, FL 33511-5900
Phone number: 813-653-1149
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