Individual
AUTRIONNE D MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6700
Mailing address
1434 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4466
MS
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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