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Individual
MRS. KELLY POULIN
Active
Individual
MRS. KELLY POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-M.S., SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8006325
VT
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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