Individual
KELLY R. SOSEBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHE,SLP
Contact information
Practice address
162 ABBA RD, FITZGERALD, GA 31750-6047
(706) 589-3773
(803) 202-0334
Mailing address
PO BOX 12094, AUGUSTA, GA 30914-2094
(706) 589-3773
(803) 202-0334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005612
GA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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