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Individual

MRS. KENDALL KING GILLENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S, CF-SLP

Contact information

Practice address
202 MARTINDALE LN, RIPLEY, MS 38663-1355
(662) 993-9105
Mailing address
142 ROAD 370, NETTLETON, MS 38858-9717
(662) 315-5243

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-4685
MS

Other

Enumeration date
04/14/2021
Last updated
04/14/2021
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