Individual
MISHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP, CALT
Contact information
Practice address
118 COLLEGE DR # 5214, HATTIESBURG, MS 39406-0002
(601) 266-5223
Mailing address
79 FAIRVIEW DR, PETAL, MS 39465-4045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3086
MS
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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