Individual
MISS JESSICA RENEE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
668 OLD SALT RD, SUMRALL, MS 39482-4232
(601) 758-0982
(601) 758-0982
Mailing address
PO BOX 332, ELLISVILLE, MS 39437-0332
(601) 319-7303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MS
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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