Individual
MS. LAURIE LYNN CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS OF SCIENCE
Contact information
Practice address
1321 DD SUNSET DR, GRENADA, MS 38901
(662) 226-0101
(662) 226-9458
Mailing address
PO BOX 891, 1321 DD SUNSET DR, GRENADA, MS 38901
(662) 226-0101
(662) 226-9458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
50798
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016200
—
MS
Enumeration date
05/01/2007
Last updated
07/08/2007
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