Individual
MS. KYNA ROBINSON WOOLLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6348 ELLYN CV, HORN LAKE, MS 38637-2469
(662) 342-3635
(662) 342-8687
Mailing address
PO BOX 932, HORN LAKE, MS 38637-0932
(662) 342-3635
(662) 342-8687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2537
MS
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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