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Individual

KELLY CARTEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3301 CALUMET AVE, VALPARAISO, IN 46383-2614
(219) 462-0508
Mailing address
6040 W 89TH LN, CROWN POINT, IN 46307-5195
(815) 919-1352

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002521A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46002521A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
10/15/2013
Last updated
10/15/2013
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