Individual
KAYLEE GRACE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
5109 NORTHWIND BLVD, VALDOSTA, GA 31605-7674
(229) 244-1667
(229) 244-8253
Mailing address
5109 NORTHWIND BLVD, VALDOSTA, GA 31605-7674
(229) 244-1667
(229) 244-8253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004174
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP013983
GA
Other
Enumeration date
02/03/2025
Last updated
02/05/2026
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