Individual
MRS. KELLY BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
3162 JOHNSON FERRY RD, SUITE 260 #325, MARIETTA, GA 30062-7604
(404) 547-0825
(770) 783-6618
Mailing address
205 LAKEMONT DR, ROSWELL, GA 30075-3203
(404) 547-0825
(770) 783-6618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005857
GA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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