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1578755567
KELLY DOUGHERTY
WAYNE, NJ
NPI
1578755567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00457800)
Enumeration Date
2007-08-14
Last Update Date
2007-08-14
Business Address
-- KELLY DOUGHERTY MA/CCC-SLP
224 HAMBURG TPKE
WAYNE, NJ 07470-2111
Phone number: 973-956-3360
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Mailing Address
-- KELLY DOUGHERTY MA/CCC-SLP
224 HAMBURG TPKE
WAYNE, NJ 07470-2111
Phone number: 973-956-3360
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