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Individual

KELLY PHILLIPS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
713 E SHOTWELL ST, BAINBRIDGE, GA 39819-4063
(229) 246-4088
(229) 243-0200
Mailing address
713 E SHOTWELL ST, BAINBRIDGE, GA 39819-4063
(229) 246-4088
(229) 243-0200

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLP003034
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00919718A
GA
Enumeration date
03/27/2006
Last updated
07/09/2007
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