KELLY MICHELLE VANWYCK-SMITH

MACON, GA
NPI1245395102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  004211)
Enumeration Date2006-12-22
Last Update Date2007-07-08
Business Address
Dr. KELLY MICHELLE VANWYCK-SMITH SLP.D., CCC
2520 RIVERSIDE DR
MACON, GA 31204-1571
Phone number: 478-745-9200
Mailing Address
Dr. KELLY MICHELLE VANWYCK-SMITH SLP.D., CCC
165 ORCHARD RIDGE DR
FORSYTH, GA 31029-2685
Phone number: 478-745-9200