Individual
KELLY BREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
205 NOLAN PKWY, ARCHBOLD, OH 43502-8404
(567) 444-4800
Mailing address
5475 COUNTY ROAD 4 50, EDGERTON, OH 43517-9756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.8324
OH
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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