ELIZABETH FULLER

SUMMIT, MS
NPI1043746456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AL  4089)
Enumeration Date2017-05-04
Last Update Date2017-05-04
Business Address
-- ELIZABETH FULLER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
Mailing Address
-- ELIZABETH FULLER
4109 HWY 98 W
SUMMIT, MS 39666
Phone number: 601-276-3900