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1649936410
JONATHAN ASHWORTH KELLEY
LAFAYETTE, LA
NPI
1649936410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 8217)
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
JONATHAN ASHWORTH KELLEY MS, CCC-SLP
1400 S ORANGE ST
LAFAYETTE, LA 70501-7530
Phone number: 337-521-7860
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Mailing Address
JONATHAN ASHWORTH KELLEY MS, CCC-SLP
1316 SAINT JOHN ST
LAFAYETTE, LA 70506-3640
Phone number: 318-789-8312
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