Individual
KELLY L WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 IVY RIDGE DR SE, UNIT 306, SMYRNA, GA 30080-6660
(630) 842-7107
Mailing address
4810 IVY RIDGE DR SE, UNIT 306, SMYRNA, GA 30080-6660
(630) 842-7107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007762
GA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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