KELLAM C BLACK
Speech Language Pathology at Gln Eagles Ct, Ponte Vedra, FL

License number
Florida 8959
Issued Date
Mar 13, 2007
Effective Date
Mar 13, 2007
Expiration Date
Dec 31, 2017
Category
Health Care
Type
Speech-Language Pathologist
Address
Address 2
126 Glen Eagles Ct, Ponte Vedra, FL 32082
3599 University Blvd, Jacksonville, FL 32216
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Kellam Black, age 50
126 Glen Eagles Ct, Ponte Vedra Beach, FL 32082
(703) 421-8701
Kellam A Black, age 50
126 Glen Eagles Ct, Ponte Vedra Beach, FL 32082
(904) 373-0685

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