Individual
ANNA VICTORIA MCCULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 HOSPITAL RD, STARKVILLE, MS 39759-2125
(662) 323-6360
Mailing address
2268 TRIPLETT RD, ACKERMAN, MS 39735-6669
(662) 285-8136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4395
MS
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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