Individual
MRS. KELSIE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
13102 S 600 E, CONVERSE, IN 46919
(574) 361-6298
Mailing address
13102 S 600 E, CONVERSE, IN 46919
(574) 361-6298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22004205A
IN
235Z00000X
Speech-Language Pathologist
Primary
22005920A
IN
Other
Enumeration date
04/15/2013
Last updated
12/22/2020
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