Individual
MISS DEBORAH M SEBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
1635 BOLING ST, JACKSON, MS 39213-4418
(601) 366-0123
(601) 366-0649
Mailing address
120 BRISCO ST, MADISON, MS 39110-4601
(601) 668-0992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2527
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125045
—
MS
Enumeration date
10/13/2006
Last updated
06/19/2021
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