Individual
CHARLETTE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 MCINGVALE RD, HERNANDO, MS 38632-8795
(662) 469-9009
Mailing address
3130 MCINGVALE RD, HERNANDO, MS 38632-8795
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000003003
TN
Other
Enumeration date
07/24/2013
Last updated
06/06/2023
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