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Individual

OLIVIA NICOLE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1313 E OSBORN RD # B240, PHOENIX, AZ 85014-5678
(480) 787-5397
Mailing address
1010 N 48TH ST APT 1022, PHOENIX, AZ 85008-5952
(513) 403-4607

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14253
AZ

Other

Enumeration date
02/20/2023
Last updated
02/20/2023
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