Individual
KRISTY SUSAN AMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 MAGNOLIA DR, RALEIGH, MS 39153-6011
(601) 782-9100
Mailing address
12 NORTHTOWN DR # 110, JACKSON, MS 39211-3016
(601) 206-9195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3900
MS
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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