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Individual

KAILA JENEE JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2032 GAINES ST, COVINGTON, GA 30016-5805
(757) 418-2590
Mailing address
2032 GAINES ST, COVINGTON, GA 30016-5805
(757) 418-2590

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10889
MD
235Z00000X
Speech-Language Pathologist
Primary
SLP011746
GA
235Z00000X
Speech-Language Pathologist
SP36403
CA

Other

Enumeration date
07/06/2026
Last updated
07/06/2026
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