Individual
KAYLAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
966 CLEARY RD, BROOKLET, GA 30415-5166
(912) 429-3781
Mailing address
966 CLEARY RD, BROOKLET, GA 30415-5166
(912) 429-3781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009623
GA
Other
Enumeration date
10/23/2019
Last updated
12/06/2023
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