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Organization

MSL SUPPORT SERVICES INC

Active
Other names
Jacquelyn S Longmeier
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUELYN S LONGMEIER MS CCC SLP (SPEECH LANGUAGE PATHOLOGIST)
(601) 693-0948
Entity
Organization

Contact information

Practice address
2208 41ST STREET, MERIDIAN, MS 39305-3321
(601) 693-0948
(601) 693-2494
Mailing address
2208 41ST STREET, MERIDIAN, MS 39305-3321
(601) 693-0948
(601) 693-2494

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0028
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
587361125
BCBS
MS
Enumeration date
03/26/2007
Last updated
07/28/2008
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