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1194249433
ELIZABETH K TACKETT
RIDGELAND, MS
NPI
1194249433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S3965)
Enumeration Date
2017-07-28
Last Update Date
2017-07-28
Business Address
ELIZABETH K TACKETT CCC-SLP
950 E COUNTY LINE RD STE A
RIDGELAND, MS 39157-1928
Phone number: 601-308-5117
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Mailing Address
ELIZABETH K TACKETT CCC-SLP
804 PINE CIR
STARKVILLE, MS 39759-3732
Phone number: 662-769-0186
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