Individual
KELLY GURGANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1912 4TH AVE NW, JASPER, AL 35504-7351
(205) 471-1597
Mailing address
1912 4TH AVE NW, JASPER, AL 35504-7351
(205) 471-1597
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2930
AL
Other
Enumeration date
07/20/2009
Last updated
08/06/2015
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