Individual
MRS. KELLY CALVERT DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED SPEECH/LANG
Contact information
Practice address
1120 PROVIDENCE DR., LAWRENCEVILLE, GA 30044
(770) 862-5200
Mailing address
1120 PROVIDENCE DR., LAWRENCEVILLE, GA 30044
(770) 862-5200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004594
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000831773B
—
GA
05
—
00831773A
—
GA
Enumeration date
11/20/2006
Last updated
12/08/2010
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