Individual
MRS. KELLY J BAJSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 535-3553
Mailing address
9035 FOREST PATH DR, GAINESVILLE, GA 30506-7956
(770) 205-2946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4444
GA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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