Individual
REBECCA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 562-6941
Mailing address
538 POPLAR AVE, PHILADELPHIA, MS 39350-2252
(601) 562-6941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4581
MS
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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