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1699392480
STEPHANIE KELLY DESIR
CHARLESTON, WV
NPI
1699392480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WV SLP-2104)
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
STEPHANIE KELLY DESIR
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
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Mailing Address
STEPHANIE KELLY DESIR
2053 SMITH RD
CHARLESTON, WV 25314-2106
Phone number: 304-382-8131
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