Individual
KHALIA REANNE DADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 CHURCHILL DR, VALDOSTA, GA 31602-2547
(951) 807-4723
Mailing address
2507 CHURCHILL DR, VALDOSTA, GA 31602-2547
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5347
CA
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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