Individual
KELLY ANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
120 S STATE HIGHWAY 45B, EWING, NE 68735-5356
(402) 394-7068
Mailing address
120 S STATE HIGHWAY 45B, EWING, NE 68735-5356
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1172
NE
Other
Enumeration date
04/02/2007
Last updated
11/29/2011
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