Individual
CAITLYN MIZELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
115 AULENBROCK DR, CANTON, MS 39046-7061
(601) 521-4934
Mailing address
141 CHOCTAW BND, CLINTON, MS 39056-3164
(601) 951-7640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
04/26/2023
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