Individual
DANA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
6067 MAGNOLIA DR, KILN, MS 39556-8485
(228) 216-0893
Mailing address
6067 MAGNOLIA DR, KILN, MS 39556-8485
(228) 216-0893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
230748
MS
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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