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Individual

MRS. KELSI MARIE MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
376 W BRUNDAGE ST, SHERIDAN, WY 82801
(307) 751-3396
Mailing address
376 W BRUNDAGE ST, SHERIDAN, WY 82801
(307) 751-3396

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-999
WY

Other

Enumeration date
06/19/2019
Last updated
06/19/2019
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