KELLY GRACEK

PONTE VEDRA, FL
NPI1285252569
Former NameKELLY GATCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA20900)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: NC  30002434)
Enumeration Date2020-07-13
Last Update Date2025-09-08
Business Address
-- KELLY GRACEK M.A., CCC-SLP
90 FORT WADE RD SUITE 100 #1017
PONTE VEDRA, FL 32081
Phone number: 904-834-9796
Mailing Address
-- KELLY GRACEK M.A., CCC-SLP
90 FORT WADE RD SUITE 100 #1017
PONTE VEDRA, FL 32081
Phone number: