MIA STAR DOUGLAS

COLLIERVILLE, TN
NPI1912441924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2016-12-09
Last Update Date2016-12-09
Business Address
-- MIA STAR DOUGLAS
560 CHARLES HAMILTON DR
COLLIERVILLE, TN 38017-1667
Phone number: 404-849-8080
Mailing Address
-- MIA STAR DOUGLAS
560 CHARLES HAMILTON DR
COLLIERVILLE, TN 38017-1667
Phone number: 404-849-8080
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