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1356787907
KELLY NOELLE SOUTHERLAND
SAN FRANCISCO, CA
NPI
1356787907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP15202)
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
-- KELLY NOELLE SOUTHERLAND M.S., CCC-SLP
3401 MISSION ST
SAN FRANCISCO, CA 94110-5419
Phone number: 415-378-6069
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Mailing Address
-- KELLY NOELLE SOUTHERLAND M.S., CCC-SLP
53 VALLEY ST
SAN FRANCISCO, CA 94110-4921
Phone number: 415-378-6069
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