Individual
CYNTHIA WASILENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1436 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-1889
Mailing address
1436 CENTRAL AVE E, WIGGINS, MS 39577-9602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2020
MS
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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