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1255872024
KELLAM BLACK
JACKSONVILLE, FL
NPI
1255872024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA8959)
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
-- KELLAM BLACK S.L.P.
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258-2460
Phone number: 904-271-6575
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Mailing Address
-- KELLAM BLACK S.L.P.
126 GLEN EAGLES CT
PONTE VEDRA BEACH, FL 32082-3613
Phone number: 904-477-9351
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