Individual
KELLY BETH WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
1115 CHURCH ST, WAYCROSS, GA 31501-3560
(912) 284-2552
(912) 287-6689
Mailing address
1115 CHURCH ST, WAYCROSS, GA 31501-3560
(912) 284-2552
(912) 287-6689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003625
GA
Other
Enumeration date
11/12/2009
Last updated
05/24/2011
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