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Speech, Language and Hearing Service Providers Specialist/Technologist Speech-Language Assistant

Provider NPI: 1235772815

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 662-329-0050  Fax: --

Business Mailing Address:
Tel: 601-605-6777  Fax: --

NPI Information:
NPI: 1235772815
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y2355S0801XSpeech, Language and Hearing Service Providers
Speech-Language Assistant

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2355S0801X





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