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1811052525
KELLY RADFORD LICQUIA
TALLAHASSEE, FL
NPI
1811052525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA13231)
Enumeration Date
2006-12-22
Last Update Date
2023-11-02
Business Address
KELLY RADFORD LICQUIA MS, CCC-SLP
3711 SHAMROCK W APT N264
TALLAHASSEE, FL 32309-2699
Phone number: 850-566-2944
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Mailing Address
KELLY RADFORD LICQUIA MS, CCC-SLP
3711 SHAMROCK W APT N264
TALLAHASSEE, FL 32309-2699
Phone number: 850-566-2944
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