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Individual
KELLY FRIESEN
Active
Individual
KELLY FRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2011008772
NE
235Z00000X
Speech-Language Pathologist
Primary
2252
NE
Other
Enumeration date
08/10/2015
Last updated
11/21/2024
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