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Individual

MISS KELLY LYNN DEMORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10234 SAINT JAMES PL, MUNSTER, IN 46321-4391
(219) 512-3798
(219) 922-3696
Mailing address
10234 SAINT JAMES PL, MUNSTER, IN 46321-4391
(219) 512-3798
(219) 922-3696

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46001897A
IN

Other

Enumeration date
11/19/2008
Last updated
11/19/2008
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