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1922446814
RENITA MONAE ISOM
SOUTHAVEN, MS
NPI
1922446814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S3566)
Enumeration Date
2013-06-12
Last Update Date
2013-06-12
Business Address
-- RENITA MONAE ISOM M.S. CCC-SLP
7160 TCHULAHOMA RD STE 4
SOUTHAVEN, MS 38671-9266
Phone number: 662-544-0156
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Mailing Address
-- RENITA MONAE ISOM M.S. CCC-SLP
PO BOX 5663
HOLLY SPRINGS, MS 38634-5663
Phone number: 662-544-0156
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