Individual
KATELYN MICHELLE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 EDE BOUNDS LN, PURVIS, MS 39475-4325
(601) 325-4154
Mailing address
62 EDE BOUNDS LN, PURVIS, MS 39475-4325
(601) 325-4154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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