AMANDA GRISSOM

MCCOMB, MS
NPI1639386444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S2832)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- AMANDA GRISSOM
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
Mailing Address
-- AMANDA GRISSOM
5321 CAMBRIDGE DR
NORTHPORT, AL 35473-1085
Phone number: 601-250-4815
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