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BERNUDE JESUCAT

Individual Provider (NPI-1) Active

Speech-Language Pathologist,

Provider Information

NPI Number
1255940615
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1024 US-61, TUNICA, MS, 38676
Phone
(662) 363-3164

Specialties & Taxonomies

Speech-Language Pathologist, Primary License: NC #30003285
Speech-Language Pathologist, License: MS #S4746
Speech-Language Pathologist, License: TN #8066

All Addresses

LOCATION

1024 US-61

TUNICA, MS, 38676

(662) 363-3164

MAILING

4141 PENWELL DR

HORN LAKE, MS, 386371283

(901) 600-0966