Individual
KELSEY SHEA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6614 BUCK HORN PL, WAXHAW, NC 28173-0181
(704) 774-6221
Mailing address
6614 BUCK HORN PL, WAXHAW, NC 28173-0181
(704) 774-6221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11534
NC
235Z00000X
Speech-Language Pathologist
—
NC
Other
Enumeration date
06/26/2014
Last updated
05/21/2020
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