Individual
CHERISE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
620 SCARLET OAK TRL, MILTON, GA 30004-0916
(443) 416-5458
Mailing address
620 SCARLET OAK TRL, MILTON, GA 30004-0916
(443) 416-5458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008384
GA
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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