Individual
VIRGINIA WILBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 E CHERRY ST, ACKERMAN, MS 39735-9473
(662) 285-2296
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0524
MS
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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