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Individual

MICAELA TEMPLE ANDRUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
115 INDUSTRIAL PARK DRIVE, LIBERTY, MS 39645
(601) 778-0245
Mailing address
PO BOX 188, LIBERTY, MS 39645-0188
(601) 778-0245

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4780
MS

Other

Enumeration date
09/22/2023
Last updated
08/12/2024
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