Individual
MACKENZIE AMELIA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., CCC-SLP
Contact information
Practice address
6569 HIGHWAY 84, FERRIDAY, LA 71334-4573
(318) 757-6551
Mailing address
800 LINDBERG AVE, NATCHEZ, MS 39120-4880
(601) 493-5818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
03/16/2023
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