Individual
SADIE R BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
720 3RD ST SW, MAGEE, MS 39111-3995
(601) 439-7042
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S5216
MS
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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