Individual
SONJA THURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
(601) 250-6859
Mailing address
834 HIGHWAY 12 W, #105, STARKVILLE, MS 39759-3582
(601) 250-4815
(601) 250-6859
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3072
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04802313
—
MS
Enumeration date
05/16/2007
Last updated
07/09/2007
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