Individual
KAYLAN DEKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 WES PARK DR, PERRY, GA 31069-4829
(478) 987-1610
(973) 965-4580
Mailing address
225 WES PARK DR, PERRY, GA 31069-4829
(478) 987-1610
(973) 965-4580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003268
GA
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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