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Individual

KELLI DONOVAN

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
18 SAINT LUKES RD, APT. 2, ALLSTON, MA 02134-3101
(508) 847-0396
Mailing address
6 REMICK TER, NEWTON, MA 02458-1718
(508) 847-0396

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6105
MA

Other

Enumeration date
06/29/2007
Last updated
07/31/2007
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