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Individual
MRS. KELLY THERESE GILLESPIE
Active
Individual
MRS. KELLY THERESE GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
242.000755
IL
235Z00000X
Speech-Language Pathologist
Primary
SA13475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014615600
—
FL
Enumeration date
11/06/2008
Last updated
05/16/2016
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