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Individual

KELLI MAE NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, SLP

Contact information

Practice address
1273 MASSMAN DR, NASHVILLE, TN 37217-1757
(615) 397-3856
Mailing address
1273 MASSMAN DRIVE, NASHVILLE, TN 37217
(615) 397-3856

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3079
TN

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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