KELLY ANN FALLER

PORT JEFFERSON STATION, NY
NPI1952724148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2014-01-24
Last Update Date2014-01-24
Business Address
Miss KELLY ANN FALLER
167 BERGEN ST
PORT JEFFERSON STATION, NY 11776-2601
Phone number: 631-745-3674
Mailing Address
Miss KELLY ANN FALLER
167 BERGEN ST
PORT JEFFERSON STATION, NY 11776-2601
Phone number: 631-745-3674
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