Individual
MS. CONNIE LINDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D., CCC-SLP
Contact information
Practice address
1610 SHANDS DR, TUPELO, MS 38804-1734
(662) 842-6033
Mailing address
1610 SHANDS DR, TUPELO, MS 38804-1734
(662) 842-6033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SO219
MS
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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