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Individual

MS. ELISHA ROKIA HARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.CCC-SLP

Contact information

Practice address
2012 W SECOND ST, APT 141, LONG BEACH, MS 39560-5553
(601) 248-6841
Mailing address
2012 W SECOND ST, APT 141, LONG BEACH, MS 39560-5553
(601) 248-6841

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12096617
MS
235Z00000X
Speech-Language Pathologist
199291
MS
235Z00000X
Speech-Language Pathologist
S3242
MS

Other

Enumeration date
01/23/2009
Last updated
01/23/2009
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