Individual
MISS CLAIBORNE BROOKE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27190 MS-28, HAZLEHURST, MS 39083
(601) 574-7000
Mailing address
27190 HIGHWAY 28, HAZLEHURST, MS 39083-2224
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4689
MS
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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