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Individual
KELLY FITZPATRICK
Active
Individual
KELLY FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA18268
FL
235Z00000X
Speech-Language Pathologist
SLP0001512
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108381500
—
FL
Enumeration date
10/23/2013
Last updated
12/09/2020
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