Individual
CLARISSA MAGDALEN PILGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 HARDY ST STE J1, HATTIESBURG, MS 39402-1300
(601) 336-5236
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-5400
MS
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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