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Individual
DEBRA KELLY
Active
Individual
DEBRA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014006805
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014006805
NEBRASKA DEPARTMENT OF EDUCATION
NE
Enumeration date
04/28/2015
Last updated
04/28/2015
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