Individual
KELSEY WINN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
534 PERRY FARM RD SW, CAVE SPRING, GA 30124-3024
(706) 266-5593
Mailing address
534 PERRY FARM RD SW, CAVE SPRING, GA 30124-3024
(706) 266-5593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003028
GA
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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