MRS. Kelly Forde Moscicki, M.S., CCC
NPI #1396927307 in La Grange Park, Illinois
Provider Information
- NPI Number
- 1396927307
- Entity Type
- Individual
- Name
- MRS. Kelly Forde Moscicki, M.S., CCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC
- Enumeration Date
- Nov 30, 2007
- Last Updated
- Nov 30, 2007
Practice Location
- Address
- 209 TIMBER LN
- City
- La Grange Park
- State
- Illinois
- ZIP Code
- 60526-1114
- Phone
- (708) 482-3962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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