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1902443997
LISA MICHELE HAMMENDORP
HATTIESBURG, MS
NPI
1902443997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MS S0608)
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
MS. LISA MICHELE HAMMENDORP M.S., CCC-SLP
201 W 7TH ST
HATTIESBURG, MS 39401-1935
Phone number: 601-408-1003
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Mailing Address
MS. LISA MICHELE HAMMENDORP M.S., CCC-SLP
201 W 7TH ST
HATTIESBURG, MS 39401-1935
Phone number:
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