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1528800745
GINA L BEACH
HATTIESBURG, MS
NPI
1528800745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S-0921)
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
Ms. GINA L BEACH SLPD, CCC-SLP
1305 COUNTRY CLUB RD
HATTIESBURG, MS 39401-7640
Phone number: 817-994-9409
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Mailing Address
Ms. GINA L BEACH SLPD, CCC-SLP
149 BAYBERRY LOOP S
PURVIS, MS 39475-3465
Phone number: 817-994-9409
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