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Individual

AMANDA WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,CCC

Contact information

Practice address
1017 COUNTY ROAD 165, BALDWYN, MS 38824-8625
(662) 284-6890
Mailing address
97 COUNTY ROAD 755, WALNUT, MS 38683-8788
(662) 284-6890

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3887
MS

Other

Enumeration date
08/21/2016
Last updated
12/07/2017
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