KELLY C IRVIN

BRADENTON, FL
NPI1871996900
Former NameKELLY C SAMUELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA10360)
Enumeration Date2014-10-03
Last Update Date2014-10-03
Business Address
-- KELLY C IRVIN SLP
3409 26TH ST W
BRADENTON, FL 34205-3600
Phone number: 941-751-7200
Mailing Address
-- KELLY C IRVIN SLP
531 VISTA RIDGE DR
RUSKIN, FL 33570-2954
Phone number: 773-444-9045
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