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1801005830
KELLEY MARIE EDELBROCK
GRANGER, IN
NPI
1801005830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 22001967A)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
MRS. KELLEY MARIE EDELBROCK M.A. CCC-SLP
14700 HORSESHOE BEND CT
GRANGER, IN 46530-8269
Phone number: 574-271-9079
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Mailing Address
MRS. KELLEY MARIE EDELBROCK M.A. CCC-SLP
14700 HORSESHOE BEND CT
GRANGER, IN 46530-8269
Phone number: 574-271-9079
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