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MS. MAURA KELLEY CF-SLP

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1215483904

Individual Registrant:
MS. MAURA  KELLEY CF-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 S HOME AVE  TOPTON, PA 19562-1317 US
Tel: 610-682-1397  Fax: 610-641-0170

Contact information for business:
1855 HEMMING WAY  OREFIELD, PA 18069-9101 US
Tel: 610-762-5837  Fax: --

Registration Information:
NPI: 1215483904
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
PA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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