Magnolia Therapy LLC
NPI #1467032953 in Greenville, Mississippi
Provider Information
- NPI Number
- 1467032953
- Entity Type
- Organization
- Organization Name
- Magnolia Therapy LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 9, 2021
- Last Updated
- May 23, 2022
Practice Location
- Address
- 1502 S COLORADO ST
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38703-7219
- Phone
- (662) 579-8508
Authorized Official
- Name
- ASHLEY BROWN CORBAN, MS, CCC-SLP
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (662) 579-8508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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