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1265684096
KATHLEEN WENTLAND
JACKSON, MS
NPI
1265684096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S2297)
Enumeration Date
2008-10-10
Last Update Date
2013-07-17
Business Address
Mrs. KATHLEEN WENTLAND MS CCC- SLP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-7399
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Mailing Address
Mrs. KATHLEEN WENTLAND MS CCC- SLP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-992-6820
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