Individual
DEANNA MARIE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1410 W QUITMAN ST, IUKA, MS 38852-1129
(662) 423-3422
Mailing address
1410 W QUITMAN ST, IUKA, MS 38852-1129
(662) 423-3422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3110
MS
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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