ASHLEY KISSAM

PORT ORANGE, FL
NPI1821365446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2011-11-28
Last Update Date2011-11-28
Business Address
-- ASHLEY KISSAM
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
Mailing Address
-- ASHLEY KISSAM
53 HARDEN DR
LAGRANGEVILLE, NY 12540-6323
Phone number:
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