Individual
RACHEL CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
406 INTERCHANGE DRIVE, FULTON, MS 38843
(662) 862-3070
(662) 862-4970
Mailing address
PO BOX 188, FULTON, MS 38843-0188
(662) 862-3070
(662) 862-4970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2564
MS
Other
Enumeration date
06/12/2009
Last updated
07/30/2019
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