Individual
MRS. KELLY JO BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1 SISKIN PLZ, CHATTANOOGA, TN 37403-1306
(423) 634-1703
Mailing address
20 MASON DR APT 1103, CHATTANOOGA, TN 37415-6668
(423) 265-3259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3113
TN
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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