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1508928961
KELLY MARIE CARLSON
SHORELINE, WA
NPI
1508928961
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Former Name
KELLY MARIE BULLION
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL00004054)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Mrs. KELLY MARIE CARLSON CCC-SLP
17535 15TH AVE NE
SHORELINE, WA 98155-3801
Phone number: 206-440-9708
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Mailing Address
Mrs. KELLY MARIE CARLSON CCC-SLP
11408 33RD ST NE
LAKE STEVENS, WA 98258-8789
Phone number: 425-971-0730
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