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Individual
KELLIE BENSON TANG
Active
Individual
KELLIE BENSON TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15948
CA
235Z00000X
Speech-Language Pathologist
Primary
33637
CA
Other
Enumeration date
02/12/2019
Last updated
02/03/2024
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