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Individual

LINDSEY DIANNE SELF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
355 CROSSGATES BLVD, BRANDON, MS 39042-2602
(601) 825-3192
Mailing address
236 CHILDRE RD, PEARL, MS 39208-4403
(601) 953-5786

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4302
MS

Other

Enumeration date
02/27/2019
Last updated
02/27/2019
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