Individual
KELLIE CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
11634 S SUMMER STONE DR, SOUTH JORDAN, UT 84095-8091
(801) 493-9690
Mailing address
11634 S SUMMER STONE DR, SOUTH JORDAN, UT 84095-8091
(801) 493-9690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
549094
UT
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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