Individual
VALERIA STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLA
Contact information
Practice address
1662 DEBRA DR, GREENVILLE, MS 38703-7817
(662) 537-7628
(662) 537-7887
Mailing address
720 ASHBURN RD, GREENVILLE, MS 38703-6002
(662) 537-7628
(662) 335-2595
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192159721
—
AR
Enumeration date
02/13/2013
Last updated
08/09/2013
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