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Individual
MRS. CARRIE ELIZABETH STEPHENS
Active
Individual
MRS. CARRIE ELIZABETH STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3889
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14037137
AMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION
MS
01
—
259473
MISSISSIPPI EDUCATOR LICENSE
MS
01
—
S3889
STATE LICENSE SPEECH LANGUAGE PATHOLOGY
MS
Enumeration date
02/14/2017
Last updated
02/14/2017
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