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Individual

MICHELLE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
85 GODWIN AVE, MIDLAND PARK, NJ 07432-1970
(201) 639-8870
(201) 639-8874
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 760-8306

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00654800
NJ

Other

Enumeration date
07/31/2014
Last updated
03/30/2021
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