Individual
MRS. KELLY MARIE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10098 BIG BEAR CREEK RD, LUCASVILLE, OH 45648-9168
(740) 259-5536
Mailing address
199 CHURCH ST, CHILLICOTHE, OH 45601-2406
(708) 372-0226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10218
OH
Other
Enumeration date
02/05/2011
Last updated
07/24/2014
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