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1316291313
MELISSA FUQUA
SOUTHAVEN, MS
NPI
1316291313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S3591)
Enumeration Date
2012-10-30
Last Update Date
2012-10-30
Business Address
-- MELISSA FUQUA MA-CCC-SLP
7160 TCHULAHOMA RD STE 1
SOUTHAVEN, MS 38671-9266
Phone number: 662-349-2733
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Mailing Address
-- MELISSA FUQUA MA-CCC-SLP
7160 TCHULAHOMA RD STE 1
SOUTHAVEN, MS 38671-9266
Phone number: 662-349-2733
Copy
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