Individual
SHELLY ADDKISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 N LAKELAND DR, MERIDIAN, MS 39307-9020
(601) 483-0038
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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