Individual
MARIE MICHELLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCC-SLP
Contact information
Practice address
1800 PORTER RD, ROCK HILL, SC 29730-8610
(803) 985-1650
Mailing address
1800 PORTER RD, ROCK HILL, SC 29730-8610
(803) 985-1650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1040488
SC
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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