Individual
KELLY JOHANNA ARDILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2792 W 70TH PL, HIALEAH, FL 33016-5421
(706) 794-4507
Mailing address
2792 W 70TH PL, HIALEAH, FL 33016-5421
(706) 794-4507
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI6934
FL
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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