MYNA LAQUISHA BURKS

FOREST, MS
NPI1598968802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  s3430)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: CA  SP4186)
Enumeration Date2007-06-06
Last Update Date2018-10-26
Business Address
MYNA LAQUISHA BURKS M.S. SLP-CCC
1129 HIGHWAY 35 S STE 2
FOREST, MS 39074-8829
Phone number: 601-469-1001
Mailing Address
MYNA LAQUISHA BURKS M.S. SLP-CCC
2500 NORTH STATE STREET
JACKSON, MS 39216-4500
Phone number: 601-948-1191