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Individual

KELLY LYNN FRIEDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
611 S 10TH ST APT 3, PHILADELPHIA, PA 19147-1965
(614) 560-9287
Mailing address
611 S 10TH ST APT 3, PHILADELPHIA, PA 19147-1965
(614) 560-9287

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009643
PA

Other

Enumeration date
05/17/2010
Last updated
05/17/2010
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