LAURA BLACK

SUMMIT, MS
NPI1922398130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  14208)
Enumeration Date2011-04-10
Last Update Date2011-04-10
Business Address
-- LAURA BLACK
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
Mailing Address
-- LAURA BLACK
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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