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Organization
SMALL TALK SPEECH AND LANGUAGE THERAPY, INC.
Active
Organization
SMALL TALK SPEECH AND LANGUAGE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMONA MILLER M.S., CCC-SLP (SPEECH LANGUAGE PATBOLOGIST/OWNER)
(601) 754-4524
Entity
Organization
Contact information
Practice address
103 N BROADWAY ST, MCCOMB, MS 39648-3901
(601) 754-4524
(601) 385-3040
Mailing address
2085 ROBB STREET EXT W, SUMMIT, MS 39666-7048
(601) 754-4524
(601) 385-3040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3363
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07201256
—
MS
Enumeration date
12/06/2015
Last updated
12/06/2015
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