Individual
KELSEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30362 CREPE MYRTLE CT, DAPHNE, AL 36527-8613
(251) 422-6549
Mailing address
30362 CREPE MYRTLE CT, DAPHNE, AL 36527-8613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112707
TX
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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