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1922350776
KELLY JENELLE WHELAN
CASPER, WY
NPI
1922350776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY SP-452)
Enumeration Date
2012-10-03
Last Update Date
2018-11-16
Business Address
Mrs. KELLY JENELLE WHELAN M.S., CCC-SLP
2546 E 2ND ST BUILDING #500
CASPER, WY 82609-2062
Phone number: 307-577-5204
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Mailing Address
Mrs. KELLY JENELLE WHELAN M.S., CCC-SLP
4606 N COLLEGE DR
CHEYENNE, WY 82009-5456
Phone number: 307-414-8394
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