ELIZABETH BLANN LUTKEN

RIDGELAND, MS
NPI1295108512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S3866)
Enumeration Date2015-11-09
Last Update Date2015-11-09
Business Address
-- ELIZABETH BLANN LUTKEN MS, CCC-SLP
207 W JACKSON ST
RIDGELAND, MS 39157-2355
Phone number: 601-362-0859
Mailing Address
-- ELIZABETH BLANN LUTKEN MS, CCC-SLP
2457 WILD VALLEY DR
JACKSON, MS 39211-6233
Phone number: 662-822-6266
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