Individual
SHALENE KING BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 CONSTITUTION DR, IUKA, MS 38852-8201
(662) 424-9500
(662) 424-9592
Mailing address
503 CONSTITUTION DR, IUKA, MS 38852-8201
(662) 424-9500
(662) 424-9592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2836
MS
Other
Enumeration date
02/02/2007
Last updated
07/11/2016
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