Individual
MRS. MARY ABIGAIL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
23 MASON ST, LAUREL, MS 39440-4437
(601) 399-0538
Mailing address
790 GARRICK RD, SEMINARY, MS 39479-4023
(601) 319-2994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3100
MS
Other
Enumeration date
03/02/2007
Last updated
09/08/2008
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