Individual
MS. SAMIAYAH LATRICE WILLIAMS MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
750 AVIGNON DR STE 4, RIDGELAND, MS 39157-5157
(601) 790-7217
Mailing address
803 BELLE OAK PARK, BRANDON, MS 39042-7030
(769) 218-6484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6135
LA
235Z00000X
Speech-Language Pathologist
Primary
S3514
MS
Other
Enumeration date
02/13/2012
Last updated
11/06/2020
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