Individual
MRS. JO ANN MC KENZIE SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
20 THE RAYS TRL SE, BOGUE CHITTO, MS 39629-8500
(601) 833-8363
Mailing address
PO BOX 1107, MCCOMB, MS 39649-1107
(601) 551-6256
(866) 655-0551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S1002
MS
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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