Individual
MS. KELLY RENEE DEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MASON ST, # 3, MILTON, WV 25541-1447
(304) 654-5203
Mailing address
501 MASON ST, # 3, MILTON, WV 25541-1447
(304) 654-5203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1110
WV
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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