Individual
VIRGINIA GORDON SWINDOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
83 AIRWAYS PL, SOUTHAVEN, MS 38671-5885
(662) 349-8787
Mailing address
1526 SINGLE TREE DR, HERNANDO, MS 38632-8048
(901) 486-8411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2068
MS
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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