Individual
KELLY MAULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
106 10TH AVE NW, RED BAY, AL 35582-3800
(844) 653-0321
Mailing address
332 COUNTY ROAD 1190, TUPELO, MS 38804-9639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4667
AL
235Z00000X
Speech-Language Pathologist
Primary
S-4833
MS
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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