KELLY SHAW

KENOSHA, WI
NPI1790049807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  3456-154)
Enumeration Date2012-07-03
Last Update Date2012-07-03
Business Address
-- KELLY SHAW MS CCC-SLP
5219 88TH AVE
KENOSHA, WI 53144-7468
Phone number: 262-653-0850
Mailing Address
-- KELLY SHAW MS CCC-SLP
14460 W HONEY LN
NEW BERLIN, WI 53151-2314
Phone number:
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