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Individual
KELLY MARIE BRODY
Active
Individual
KELLY MARIE BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10373
MN
235Z00000X
Speech-Language Pathologist
Primary
146016894
IL
Other
Enumeration date
09/17/2019
Last updated
12/14/2023
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