Individual
SHARHONDA WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2447 ATTALA ROAD 2203, KOSCIUSKO, MS 39090
(662) 435-0504
Mailing address
2447 ATTALA ROAD 2203, KOSCIUSKO, MS 39090-3188
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4461
MS
235Z00000X
Speech-Language Pathologist
SA16332
FL
Other
Enumeration date
05/04/2017
Last updated
08/15/2018
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