Individual
MS. KELLY MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
905 ROOSEVELT HWY, SUITE 115, COLCHESTER, VT 05446-4475
(802) 861-3600
Mailing address
905 ROOSEVELT HWY, SUITE 115, COLCHESTER, VT 05446-4475
(802) 861-3600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12138730
VT
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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