Individual
RANEY WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5903 RIDGEWOOD RD, JACKSON, MS 39211-3700
(601) 899-3800
Mailing address
157 DYKE RD APT 30, RIDGELAND, MS 39157-9206
(662) 897-1010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3662
MS
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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