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1912347188
KELLY MOOSE
MT PLEASANT, SC
NPI
1912347188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 4130)
Enumeration Date
2013-07-02
Last Update Date
2013-07-02
Business Address
-- KELLY MOOSE SLP
1316 S BARKSDALE RD
MT PLEASANT, SC 29464-5165
Phone number: 843-822-8277
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Mailing Address
-- KELLY MOOSE SLP
1316 S BARKSDALE RD
MT PLEASANT, SC 29464-5165
Phone number: 843-822-8277
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