ANGELA KIM GRISSOM

JACKSON, MS
NPI1770729998
Other NameKIM TIDWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S2357)
Enumeration Date2008-12-17
Last Update Date2025-09-30
Business Address
ANGELA KIM GRISSOM SLP
733 N. FLAG CHAPEL ROAD
JACKSON, MS 39209
Phone number: 601-922-5530
Mailing Address
ANGELA KIM GRISSOM SLP
147 PECAN HILL DR
CLINTON, MS 39056-5233
Phone number: 601-862-9265
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