Individual
KAYLA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
303 HARRIS INDUSTRIAL BLVD STE 5, VIDALIA, GA 30474-8854
(912) 331-0846
(678) 792-4894
Mailing address
618 BOWENS MILL RD SW, DOUGLAS, GA 31533-3926
(912) 331-0846
(678) 792-4894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET003524
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP012477
GA
Other
Enumeration date
01/31/2022
Last updated
03/13/2023
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