Individual
MRS. HAILEY BLACKBURN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-6090
Mailing address
4614 FRIAR CIR, JACKSON, MS 39211-4920
(601) 953-7697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3822
MS
Other
Enumeration date
01/21/2022
Last updated
04/21/2022
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