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Organization
LET'S TALK THERAPY
Active
Organization
LET'S TALK THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAVEN DIXON (SPEECH LANGUAGE PATHOLOGIST)
(901) 730-2544
Entity
Organization
Contact information
Practice address
8091 W RAILROAD AVE, GULFPORT, MS 39501-8103
(901) 730-2544
Mailing address
8091 W RAILROAD AVE, GULFPORT, MS 39501-8103
(901) 730-2544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
09/28/2022
Last updated
12/02/2023
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