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Individual
KELLY M SMITH
Active
Individual
KELLY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, SLP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA14005
FL
235Z00000X
Speech-Language Pathologist
Primary
SA14005
FL
235Z00000X
Speech-Language Pathologist
SLP008426
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143763A
—
GA
05
—
015769200
—
FL
05
—
018022200
—
FL
Enumeration date
01/03/2013
Last updated
09/22/2016
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