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Organization
PATH TO FREEDOM
Active
Organization
PATH TO FREEDOM
Active
Other names
Path to Freedom LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERICA FOXWORTH NP (PMHNP)
(601) 202-0847
Entity
Organization
Contact information
Practice address
228 BROADWAY DR STE 5, HATTIESBURG, MS 39401-5074
(601) 202-0847
Mailing address
148 STEEP HOLW, HATTIESBURG, MS 39402-7004
(601) 316-0019
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/15/2025
Last updated
02/19/2025
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