Kelsey Jack, CCC-SLP
NPI #1750161808 in Douglasville, Georgia
Provider Information
- NPI Number
- 1750161808
- Entity Type
- Individual
- Name
- Kelsey Jack, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Oct 4, 2023
- Last Updated
- Oct 4, 2023
Practice Location
- Address
- 6078 DORSET BRIDGE RD
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-6016
- Phone
- (361) 215-4254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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