Individual
RACHEL JETT WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
7160 TCHULAHOMA RD BLDG B, STE. 4, SOUTHAVEN, MS 38671-9266
(901) 351-5718
Mailing address
224 WESTOVER DR, CLARKSDALE, MS 38614-9769
(901) 351-5718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3783
MS
Other
Enumeration date
08/05/2013
Last updated
08/10/2023
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