Myna Laquisha Burks, M.S. SLP-CCC
NPI #1598968802 in Forest, Mississippi
Provider Information
- NPI Number
- 1598968802
- Entity Type
- Individual
- Name
- Myna Laquisha Burks, M.S. SLP-CCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. SLP-CCC
- Enumeration Date
- Jun 6, 2007
- Last Updated
- Oct 26, 2018
Practice Location
- Address
- 1129 HIGHWAY 35 S STE 2
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-8829
- Phone
- (601) 469-1001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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