KELLI JOHANESEN

SALEM, OR
NPI1689459299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  14051696)
Enumeration Date2023-08-30
Last Update Date2023-08-30
Business Address
KELLI JOHANESEN
2611 PRINGLE RD SE
SALEM, OR 97302-1533
Phone number: 503-588-5330
Mailing Address
KELLI JOHANESEN
2611 PRINGLE RD SE
SALEM, OR 97302-1533
Phone number: 503-588-5330
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