KELLI BOSTIC

CHARLESTON, WV
NPI1700065364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WV  1200)
Enumeration Date2007-10-31
Last Update Date2007-10-31
Business Address
-- KELLI BOSTIC
200 ELIZABETH ST
CHARLESTON, WV 25311-2119
Phone number: 304-766-7655
Mailing Address
-- KELLI BOSTIC
501 22ND ST
DUNBAR, WV 25064-1711
Phone number: 304-766-7655
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