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Individual

WILL TANNER FERRAEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SLP

Contact information

Practice address
521 WINIFRED RD, CUMBERLAND, MD 21502-6392
(662) 289-4311
Mailing address
30 VILLAGE LOOP, STARKVILLE, MS 39759-1635
(662) 295-4992

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
08376
MD
235Z00000X
Speech-Language Pathologist
Primary
S4294
MS

Other

Enumeration date
01/11/2019
Last updated
12/30/2019
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