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1619629490
KELLY RENEA DANIEL
ELIZABETHTOWN, KY
NPI
1619629490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 167105)
Enumeration Date
2022-01-22
Last Update Date
2022-01-22
Business Address
KELLY RENEA DANIEL
305 N MAIN ST
ELIZABETHTOWN, KY 42701-1328
Phone number: 270-300-2601
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Mailing Address
KELLY RENEA DANIEL
305 N MAIN ST
ELIZABETHTOWN, KY 42701-1328
Phone number: 270-300-2601
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