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Organization

CHILDREN'S COMMUNICATION CORNER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHANA L. KELLY MS.,CCC-SLP (OWNER/CERTIFIED SLP)
(206) 299-1780
Entity
Organization

Contact information

Practice address
444 NORTHEAST RAVENNA BOULVARD, SUITE NUMBER 307, SEATTLE, WA 98115
(206) 299-1780
Mailing address
4115 UNIVERSITY WAY NE, STE 202, SEATTLE, WA 98105
(206) 299-1780
(206) 524-9836

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60163144
WA

Other

Enumeration date
09/12/2011
Last updated
09/10/2015
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