Individual
KELLY DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 W AZURE DR STE 140, LAS VEGAS, NV 89130-4425
(702) 515-4009
Mailing address
9344 BRIGHT BLUE SKY AVE, LAS VEGAS, NV 89166-3787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-4047
NV
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
07/29/2024
Last updated
09/07/2024
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