Individual
MISS KELLY DAWN OLANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
208 VARSITY LN, BEAR, DE 19701-3906
(908) 670-1084
Mailing address
208 VARSITY LN, BEAR, DE 19701-3906
(908) 670-1084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08403
MD
235Z00000X
Speech-Language Pathologist
O1-0001384
DE
Other
Enumeration date
07/15/2014
Last updated
03/20/2017
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