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1821134909
KELLY RENEE BALLANTYNE
SEATTLE, WA
NPI
1821134909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL60220368)
Enumeration Date
2007-01-29
Last Update Date
2012-10-25
Business Address
Mrs. KELLY RENEE BALLANTYNE CCC-SLP
3906 NE 50TH ST
SEATTLE, WA 98105-3031
Phone number: 713-231-7619
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Mailing Address
Mrs. KELLY RENEE BALLANTYNE CCC-SLP
3906 NE 50TH ST
SEATTLE, WA 98105-3031
Phone number: 713-231-7619
Copy
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