KELLAM BLACK

JACKSONVILLE, FL
NPI1255872024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA8959)
Enumeration Date2017-03-13
Last Update Date2017-03-13
Business Address
-- KELLAM BLACK S.L.P.
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258-2460
Phone number: 904-271-6575
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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