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MISS JESSICA RENEE PARKER M.S.

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1205224649

Individual Registrant:
MISS JESSICA RENEE PARKER M.S.
Gender: F
Sole Proprietor

Location and contact information for practice:
668 OLD SALT RD  SUMRALL, MS 39482-4232 US
Tel: 601-758-0982  Fax: 601-758-0982

Contact information for business:
PO BOX 332  ELLISVILLE, MS 39437-0332 US
Tel: 601-319-7303  Fax: --

Registration Information:
NPI: 1205224649
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
MS

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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