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Individual
E KELLI QUINN
Active
Individual
E KELLI QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005554
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290890024C
—
GA
01
—
971452
BCBS PIN
GA
Enumeration date
12/04/2006
Last updated
05/20/2008
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