Individual
KELLY GAWEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP/L
Contact information
Practice address
7824 TYREE RD, WINSTON, GA 30187-1230
(770) 990-5989
Mailing address
7824 TYREE RD, WINSTON, GA 30187-1230
(770) 990-5989
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009842
GA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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