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1497185102
LARISSA KELLY
LAKELAND, FL
NPI
1497185102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA12655)
Enumeration Date
2013-11-15
Last Update Date
2013-11-15
Business Address
-- LARISSA KELLY CCC-SLP
3020 LAKELAND HIGHLANDS RD
LAKELAND, FL 33803-4338
Phone number: 863-686-3189
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Mailing Address
-- LARISSA KELLY CCC-SLP
3020 LAKELAND HIGHLANDS RD
LAKELAND, FL 33803-4338
Phone number: 863-686-3189
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