Search › Georgia › 235Z00000X
Kelsey Jack, CCC-SLP
NPI 1750161808 · on the registry since 2023
Practice
- Address
- 6078 Dorset Bridge Rd
Douglasville, GA 30135 - Phone
- (361) 215-4254
- Organisation at this address
- The Word Vine Speech Services, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- NC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia