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Individual

MRS. REBECCA J CONNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
116 HITCHING POST PL, FLORENCE, KY 41042-8990
(859) 322-4346
Mailing address
116 HITCHING POST PL, FLORENCE, KY 41042-8990
(859) 322-4346
(859) 488-3038

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-1469
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KY-1469
STATE LICENSE NUMBER
KY
Enumeration date
03/26/2007
Last updated
04/24/2020
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