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Organization
KELLY M. HARRIS, MS, CCC-SLP, LLC
Active
Organization
KELLY M. HARRIS, MS, CCC-SLP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M HARRIS MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(772) 418-6272
Entity
Organization
Contact information
Practice address
404 SW TALQUIN LN, PORT SAINT LUCIE, FL 34986-2062
(772) 418-6272
(772) 785-9282
Mailing address
404 SW TALQUIN LN, PORT SAINT LUCIE, FL 34986-2062
(772) 418-6272
(772) 785-9282
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6451
FL
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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