Individual
KELLY CLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
475 GRAYWOOD DR, BALLWIN, MO 63011-3459
(314) 239-7989
Mailing address
475 GRAYWOOD DR, BALLWIN, MO 63011-3459
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008033253
MO
Other
Enumeration date
11/30/2009
Last updated
04/12/2021
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