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Individual

MRS. DONNA G BURLINGAME

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS CC-SLP

Contact information

Practice address
1100 COLLEGE ST, MUW 1340, COLUMBUS, MS 39701-5800
(662) 329-7270
(662) 329-7460
Mailing address
1100 COLLEGE ST, MUW 1340, COLUMBUS, MS 39701-5800
(662) 329-7270
(662) 329-7460

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2790
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00025403
MS
Enumeration date
07/26/2005
Last updated
07/08/2007
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