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1679254494
KELLY DOUGLASS
ROSEVILLE, CA
NPI
1679254494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 12012)
Enumeration Date
2023-07-25
Last Update Date
2023-07-25
Business Address
KELLY DOUGLASS SLP
707 SUNRISE AVE
ROSEVILLE, CA 95661-4524
Phone number: 916-247-9629
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Mailing Address
KELLY DOUGLASS SLP
504 CRANBORNE CT
ROSEVILLE, CA 95747-6291
Phone number: 916-247-9629
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