Individual
JESSICA STOKES HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
189 DALLIS DR, GREENVILLE, MS 38701-7529
(662) 390-6441
Mailing address
189 DALLIS DR, GREENVILLE, MS 38701-7529
(662) 390-6441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4069
MS
Other
Enumeration date
07/02/2016
Last updated
07/02/2016
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