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1194864249
STEPHANIE MACHELLE AULTMAN
HATTIESBURG, MS
NPI
1194864249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MS S2122)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
STEPHANIE MACHELLE AULTMAN M.S. CCC-SLP
100 W FRONT ST
HATTIESBURG, MS 39401-3460
Phone number: 601-270-6968
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Mailing Address
STEPHANIE MACHELLE AULTMAN M.S. CCC-SLP
PO BOX 49
HATTIESBURG, MS 39403-0049
Phone number: 601-270-6968
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