Individual
KACEY CIVITELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E 48TH ST UNIT A, SAVANNAH, GA 31405-2267
(904) 417-3226
(912) 244-6515
Mailing address
201 E 48TH ST UNIT A, SAVANNAH, GA 31405-2267
(904) 417-3226
(912) 244-6515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009693
GA
Other
Enumeration date
06/16/2015
Last updated
12/21/2019
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