Individual
MRS. JESSICA L KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA SLP/A, MS, ITFS
Contact information
Practice address
8004 CROOKED CHUTE CT, RALEIGH, NC 27612-7324
(919) 469-5244
Mailing address
8004 CROOKED CHUTE CT, RALEIGH, NC 27612-7324
(919) 469-5244
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2007
Last updated
03/24/2014
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