Individual
KAYLA DAWN CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4712 WINDSOR AVE, PHILADELPHIA, PA 19143-3517
(215) 500-7842
Mailing address
4712 WINDSOR AVE, PHILADELPHIA, PA 19143-3517
(215) 500-7842
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014484
PA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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