Individual
MRS. BEVERLY WILSON BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
5469 SOUTHWOOD DR, MEMPHIS, TN 38120-1928
(901) 761-0021
(901) 255-2823
Mailing address
PO BOX 181291, MEMPHIS, TN 38181-1291
(901) 794-5658
(901) 255-2823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000000466
TN
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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