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1508171091
KELLY ANN MCMILLEN
STATEN ISLAND, NY
NPI
1508171091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 0101651)
Enumeration Date
2010-08-10
Last Update Date
2010-08-10
Business Address
Mrs. KELLY ANN MCMILLEN M.A.CCC SLP
3391 RICHMOND AVE
STATEN ISLAND, NY 10312-2025
Phone number: 718-608-9130
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Mailing Address
Mrs. KELLY ANN MCMILLEN M.A.CCC SLP
187 CROSSFIELD AVE
STATEN ISLAND, NY 10312-1543
Phone number: 718-710-5520
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