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Individual

MRS. KELLI RENEE HAMBLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
704 21ST AVE N, MYRTLE BEACH, SC 29577-7400
(843) 448-2913
(843) 626-1483
Mailing address
2184 BREWSTER DR, UNIT 826, MYRTLE BEACH, SC 29577-1752
(304) 542-8390

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5078
SC

Other

Enumeration date
06/27/2012
Last updated
06/27/2012
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