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Individual

MEGHAN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5 LAKE RD, SHELTON, CT 06484-2967
(203) 922-3674
Mailing address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 677-2934

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4948
CT
390200000X
Student in an Organized Health Care Education/Training Program
18
CT

Other

Enumeration date
09/17/2014
Last updated
09/09/2015
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