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Individual

KELLEY MCAVOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
125 BEACON BLVD, KEANSBURG, NJ 07734-1937
(732) 865-0978
Mailing address
125 BEACON BLVD, KEANSBURG, NJ 07734-1937
(732) 865-0978

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00797600
NJ

Other

Enumeration date
05/14/2015
Last updated
05/14/2015
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