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Individual

MS. JANIS MARCELL LOCKLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS.,CCC-SLP

Contact information

Practice address
933 SAVANNAH PL, GULFPORT, MS 39507-3354
(228) 234-0753
(228) 896-9185
Mailing address
933 SAVANNAH PL, GULFPORT, MS 39507-3354
(228) 234-0753
(228) 896-9185

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0919
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0127026
MS
Enumeration date
01/24/2007
Last updated
07/09/2007
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