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Individual

ADRIA MCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
665 HIGHWAY 51 STE C, RIDGELAND, MS 39157-2136
(601) 605-5384
(601) 898-4761
Mailing address
PO BOX 13861, JACKSON, MS 39236-3861
(601) 605-5384
(601) 898-4761

Taxonomy

Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
OT0128
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00126476
MS
05
06081560
MS
Enumeration date
01/18/2007
Last updated
07/09/2007
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