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1578696399
KELLY LEE COLCLASURE
DANVILLE, IN
NPI
1578696399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22004397A)
Enumeration Date
2007-03-13
Last Update Date
2007-07-09
Business Address
-- KELLY LEE COLCLASURE MS CCC-SLP
3380 E MAIN ST
DANVILLE, IN 46122-9089
Phone number: 317-178-0089
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Mailing Address
-- KELLY LEE COLCLASURE MS CCC-SLP
5814 EAST COUNTY ROAD 100 NORTH
AVON, IN 46123
Phone number: 317-745-4739
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