Individual
MRS. KELSEY BLAKE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3721 EXECUTIVE CENTER DR, #201, AUSTIN, TX 78731-1645
(512) 372-3777
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39657
TX
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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