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1518210210
KELLY L WALSH
SMYRNA, GA
NPI
1518210210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP007762)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
-- KELLY L WALSH
4810 IVY RIDGE DR SE UNIT 306
SMYRNA, GA 30080-6660
Phone number: 630-842-7107
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Mailing Address
-- KELLY L WALSH
4810 IVY RIDGE DR SE UNIT 306
SMYRNA, GA 30080-6660
Phone number: 630-842-7107
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