SHANNON KELLY

KINGS PARK, NY
NPI1588018899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  940030151)
Enumeration Date2016-04-22
Last Update Date2016-04-22
Business Address
-- SHANNON KELLY
37 WESTWOOD LN
KINGS PARK, NY 11754-5122
Phone number: 631-672-6934
Mailing Address
-- SHANNON KELLY
37 WESTWOOD LN
KINGS PARK, NY 11754-5122
Phone number: 631-672-6934
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