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Organization
MISSISSIPPI BAND OF CHOCTAW INDIANS
Active
Organization
MISSISSIPPI BAND OF CHOCTAW INDIANS
Active
Other names
Choctaw Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXIS NICOLE PYAWASIT-VAUGHN P-LPAT (EXPRESSIVE ART SPECIALIST)
(601) 389-4150
Entity
Organization
Contact information
Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4147
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4147
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
NULL
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
09/23/2024
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