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Individual

KELLEY ALEXANDRIA TISION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CLVT, COMS

Contact information

Practice address
2181 ORANGE AVE E, TALLAHASSEE, FL 32311-6144
(850) 513-7623
Mailing address
850 CAPITAL WALK DR APT 8306, TALLAHASSEE, FL 32303-0611
(340) 244-3344

Taxonomy

Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary

Other

Enumeration date
05/24/2022
Last updated
05/24/2022
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