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1487262705
KELLIE VINCENT
LONGVIEW, TX
NPI
1487262705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 116777)
Enumeration Date
2020-07-22
Last Update Date
2020-07-22
Business Address
KELLIE VINCENT MS, CF-SLP
1301 E YOUNG ST
LONGVIEW, TX 75602-2251
Phone number: 903-753-0206
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Mailing Address
KELLIE VINCENT MS, CF-SLP
3100 MCCANN RD APT 201
LONGVIEW, TX 75605-7802
Phone number: 337-661-4069
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