Individual
MARY ALLISON ORMON RAKESTRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
913 BECK SPRINGS RD, HICKORY FLAT, MS 38633-9184
(662) 668-0612
Mailing address
913 BECK SPRINGS RD, HICKORY FLAT, MS 38633-9184
(662) 668-0612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2821
MS
Other
Enumeration date
02/08/2008
Last updated
08/16/2014
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