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Individual
KELLY ZITTEL
Active
Individual
KELLY ZITTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI1724
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ5727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004672700
—
FL
Enumeration date
02/01/2012
Last updated
04/03/2012
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