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1982783320
MARY S WADDELL
JACKSON, MS
NPI
1982783320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MS S2782)
Enumeration Date
2006-11-05
Last Update Date
2007-07-08
Business Address
MRS. MARY S WADDELL SLP
4500 I 55 N SUITE 291
JACKSON, MS 39211-5930
Phone number: 601-362-0859
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Mailing Address
MRS. MARY S WADDELL SLP
1600 LINDEN PL
JACKSON, MS 39202-1215
Phone number: 601-355-4653
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