HEATHER S WISE

JACKSON, MS
NPI1578738043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S2977)
Enumeration Date2008-04-25
Last Update Date2008-04-25
Business Address
-- HEATHER S WISE
1350 E WOODROW WILSON AVE
JACKSON, MS 39216-5112
Phone number: 601-981-2611
Mailing Address
-- HEATHER S WISE
1350 E WOODROW WILSON AVE
JACKSON, MS 39216-5112
Phone number: 601-981-2611
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