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Individual
SOPHIE KELLY
Active
Individual
SOPHIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200001514
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP200001514
DEPARTMENT OF HEALTH BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY
DC
Enumeration date
08/21/2023
Last updated
08/23/2023
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