Organization
KIM S. HAVARD, MS CCC-SLP LLC
Active
Parent organization
KIM S. HAVARD, MS CCC-SLP
Other names
Kim S. Havard, MS CCC-SLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIM S. HAVARD, MS CCC-SLP
Authorized official
MRS. KIM S. HAVARD MS CCC-SLP (OWNER/PROVIDER)
(601) 408-1365
Entity
Organization
Contact information
Practice address
98 QUAIL HOLLOW DR, HATTIESBURG, MS 39402-6008
(601) 408-1365
(601) 300-3015
Mailing address
98 QUAIL HOLLOW DR, HATTIESBURG, MS 39402-6008
(601) 408-1365
(601) 300-3015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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