LARUALEE FANT NOWELL

SOUTHAVEN, MS
NPI1093295370
Former NameLAURALEE E FANT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2018-08-16
Last Update Date2018-08-16
Business Address
LARUALEE FANT NOWELL CCC-SLP
83 AIRWAYS PL
SOUTHAVEN, MS 38671-5885
Phone number: 662-349-8787
Mailing Address
LARUALEE FANT NOWELL CCC-SLP
83 AIRWAYS PL
SOUTHAVEN, MS 38671-5885
Phone number: 662-349-8787
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