KELLY DESFOSSE

BROOKLYN, NY
NPI1972015071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  12144068)
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
KELLY DESFOSSE
330 18TH ST
BROOKLYN, NY 11215-6111
Phone number:
Mailing Address
KELLY DESFOSSE
206 DARLINGTON AVE
STATEN ISLAND, NY 10312-2652
Phone number:
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