Individual
CARLA BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2844 TRACELAND DR, TUPELO, MS 38801-4200
(662) 680-3148
Mailing address
3828 BRADDOCK AVE, MOSS POINT, MS 39562-8111
(228) 475-2667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S1047
MS
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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