Individual
JENNIFER WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 GETWELL ST, MARKS, MS 38646-9785
(662) 326-8031
(662) 326-8225
Mailing address
106 SUNRISE CV, BATESVILLE, MS 38606-8778
(601) 849-1682
(601) 849-1969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3014
MS
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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