Individual
MARY ELYSE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6625 LYNDALE AVE S STE 430, RICHFIELD, MN 55423-2300
(952) 285-2840
Mailing address
8133 NARCISSUS LN N, MAPLE GROVE, MN 55311-1717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
518118
MN
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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