Individual
VICTORIA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 RESIDENTIAL CENTER RD, CHOCTAW, MS 39350-6780
(601) 389-2812
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4577
MS
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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