LARA MONICO

JACKSON, MS
NPI1154573806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S2757)
Enumeration Date2008-10-14
Last Update Date2008-10-14
Business Address
-- LARA MONICO M.C.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-6057
Mailing Address
-- LARA MONICO M.C.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: