Individual
MELISSA BUKOVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2844 TRACELAND DR, TUPELO, MS 38801-4200
(662) 680-3148
Mailing address
2844 TRACELAND DR, PO BOX 3667, TUPELO, MS 38801-4200
(662) 680-3148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5961
TN
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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