Individual
KHAKLIA ANGHELLE PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1889 SMALLWOOD ST, JACKSON, MS 39212-2522
(601) 214-8378
Mailing address
1889 SMALLWOOD ST, JACKSON, MS 39212-2522
(601) 214-8378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3044
MS
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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