Individual
LAURA NABORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 AUTUMN RIDGE DR, KOSCIUSKO, MS 39090-3242
(662) 289-2499
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3989
MS
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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