RENITA MONAE ISOM

SOUTHAVEN, MS
NPI1922446814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S3566)
Enumeration Date2013-06-12
Last Update Date2013-06-12
Business Address
-- RENITA MONAE ISOM M.S. CCC-SLP
7160 TCHULAHOMA RD STE 4
SOUTHAVEN, MS 38671-9266
Phone number: 662-544-0156
Mailing Address
-- RENITA MONAE ISOM M.S. CCC-SLP
PO BOX 5663
HOLLY SPRINGS, MS 38634-5663
Phone number: 662-544-0156