Organization
EAT PLAY SPEAK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLAN W MOORE CCC-SLP (OWNER)
(912) 429-3781
Entity
Organization
Contact information
Practice address
966 CLEARY RD, BROOKLET, GA 30415-5166
(912) 429-3781
Mailing address
966 CLEARY RD, BROOKLET, GA 30415-5166
(912) 429-3781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
09/13/2024
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