Individual
JANICE VICTORIA SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
119 OLSON AVE, LONG BEACH, MS 39560-5825
(228) 860-4407
Mailing address
119 OLSON AVE, LONG BEACH, MS 39560-5825
(228) 860-4407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0575
MS
235Z00000X
Speech-Language Pathologist
SP001495
TN
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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