Individual
GABRIELLE I SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1620 HIGHWAY 11 N STE C, PICAYUNE, MS 39466-2070
(769) 242-2626
(769) 242-2685
Mailing address
2825 W PARK DR, GAUTIER, MS 39553-6549
(228) 217-0538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-4851
MS
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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