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Organization

SMALL TALK SPEECH AND LANGUAGE THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAMONA P MILLER (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(601) 754-4524
Entity
Organization

Contact information

Practice address
125 N 6TH ST, MCCOMB, MS 39648
(601) 754-4524
Mailing address
2085 ROBB STREET EXT W, SUMMIT, MS 39666-7048
(601) 754-4524

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3363
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07201256
MS
Enumeration date
08/18/2016
Last updated
08/14/2018
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