Individual
KELLY CRUMBAKER HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3556 RIVERSIDE DR, BLDG C, MACON, GA 31210-2509
(478) 475-7988
Mailing address
3556 RIVERSIDE DR, BLDG C, MACON, GA 31210-2509
(478) 475-7988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006537
GA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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