MIA JAQUAY KIMMONS

SOUTHAVEN, MS
NPI1922286863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S3061)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: TN  3231)
Enumeration Date2008-02-01
Last Update Date2010-11-16
Business Address
-- MIA JAQUAY KIMMONS M.S. CCC-SLP
7145 SWINNEA ROAD SUITE # 1
SOUTHAVEN, MS 38671-6013
Phone number: 662-349-2370
Mailing Address
-- MIA JAQUAY KIMMONS M.S. CCC-SLP
PO BOX 552
SOUTHAVEN, MS 38671-0006
Phone number: 662-349-2370