Individual
JANNA YVONNE STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
135 COUNTY ROAD 506, SHANNON, MS 38868-9777
(662) 322-7508
Mailing address
135 COUNTY ROAD 506, SHANNON, MS 38868-9777
(662) 322-7508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3993
MS
Other
Enumeration date
11/15/2015
Last updated
11/15/2015
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