Individual
MRS. KELLY LANGAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.SLP/CCC, MA. BCBA
Contact information
Practice address
1123 QUEENSBOROUGH BLVD STE 102, MT PLEASANT, SC 29464-3682
(843) 352-7049
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-12-10059
SC
235Z00000X
Speech-Language Pathologist
Primary
5642
SC
Other
Enumeration date
03/12/2010
Last updated
02/18/2016
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