Individual
SHANTEL WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6196B MS HIGHWAY 567, LIBERTY, MS 39645-5283
(601) 597-4992
Mailing address
6196B MS HIGHWAY 567, LIBERTY, MS 39645-5283
(601) 597-4992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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