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Individual
ELISSA KILLAM
Active
Individual
ELISSA KILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2021038912
MO
235Z00000X
Speech-Language Pathologist
20306
CA
235Z00000X
Speech-Language Pathologist
Primary
2202010432
VA
235Z00000X
Speech-Language Pathologist
SL017002
PA
235Z00000X
Speech-Language Pathologist
TPSA230
FL
Other
Enumeration date
09/16/2016
Last updated
09/10/2026
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