KELLY DOUGLASS

ROSEVILLE, CA
NPI1679254494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  12012)
Enumeration Date2023-07-25
Last Update Date2023-07-25
Business Address
KELLY DOUGLASS SLP
707 SUNRISE AVE
ROSEVILLE, CA 95661-4524
Phone number: 916-247-9629
Mailing Address
KELLY DOUGLASS SLP
504 CRANBORNE CT
ROSEVILLE, CA 95747-6291
Phone number: 916-247-9629