Individual
KYLIE ALEX HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
225 WES PARK DR, PERRY, GA 31069
(478) 987-1610
Mailing address
225 WES PARK DR, PERRY, GA 31069-4829
(478) 987-1610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010172
GA
Other
Enumeration date
08/18/2017
Last updated
07/21/2022
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