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Individual
MRS. KELLY MARIE CALIA
Active
Individual
MRS. KELLY MARIE CALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ 4530
FL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001243600
—
FL
01
—
SA10030
SPEECH-LANGUAGE PATHOLOGY LICENSE
FL
Enumeration date
07/09/2008
Last updated
01/07/2011
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