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Individual

MRS. JANEANN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-A

Contact information

Practice address
#4 PROFESSIONAL PLAZA, STARKVILLE, MS 39759
(662) 323-3684
(662) 323-3647
Mailing address
4 PROFESSIONAL PLZ, STARKVILLE, MS 39759-1901
(662) 323-3684

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A2933
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04089015
MS
Enumeration date
12/29/2010
Last updated
07/21/2022
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