Individual
MARJORY KERZNER-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 EISENHOWER DR, SAVANNAH, GA 31406-2601
(912) 335-1650
Mailing address
32 S ROCKWELL AVE, SAVANNAH, GA 31419-3018
(912) 224-2112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109758
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109758
GEORGIA EDUCATOR CERTIFICATE
GA
01
—
SLP009120
GA SLP LICENSE
GA
Enumeration date
07/14/2014
Last updated
04/10/2025
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