Individual
MRS. BILLI J SUMRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
13053 WOODBRIDGE CT, GULFPORT, MS 39503-2483
(228) 539-5278
Mailing address
13053 WOODBRIDGE CT, GULFPORT, MS 39503-2483
(228) 539-5278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2230
MS
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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