Individual
KIMBERLY TRIGG CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
156 E WALNUT AVE, EUPORA, MS 39744-2027
(662) 258-8293
(662) 258-2345
Mailing address
156 E WALNUT AVE, EUPORA, MS 39744-2027
(662) 258-8293
(662) 258-2345
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0937
MS
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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