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Organization
AULTMAN SPEECH THERAPY SERVICES, LLC
Active
Organization
AULTMAN SPEECH THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACHELLE AULTMAN M.S. CCC-SLP (SPEECH PATHOLOGIST/OWNER)
(601) 270-6968
Entity
Organization
Contact information
Practice address
668 OLD SALT RD, SUMRALL, MS 39482-4232
(601) 270-6968
Mailing address
668 OLD SALT RD, SUMRALL, MS 39482-4232
(601) 270-6968
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2122
MS
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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