Individual
MRS. EMILY MIZE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
140 IVYWOOD CV, SALTILLO, MS 38866-9510
(662) 315-0925
Mailing address
140 IVYWOOD CV, SALTILLO, MS 38866-9510
(662) 315-0925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3107
MS
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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