GINNY BREANN RUSSELL

LAUREL, MS
NPI1700183233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  12129712)
Enumeration Date2011-02-18
Last Update Date2013-06-05
Business Address
-- GINNY BREANN RUSSELL
17 BRITTANY LN
LAUREL, MS 39443-7401
Phone number: 601-498-9341
Mailing Address
-- GINNY BREANN RUSSELL
17 BRITTANY LANE
LAUREL, MS 39443
Phone number: 601-498-9341
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