Individual
VIRGINIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
5811 66TH AVE W, UNIVERSITY PLACE, WA 98467-4928
(253) 232-8019
Mailing address
5811 66TH AVE W, UNIVERSITY PLACE, WA 98467-4928
(253) 232-8019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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