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Individual

KATELYN ELIZABETH SWINFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
304 ENTERPRISE DR, OXFORD, MS 38655-2762
(662) 638-3538
(662) 638-3532
Mailing address
403 SISK AVE, OXFORD, MS 38655-3409
(256) 343-1758

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-0624
MS

Other

Enumeration date
08/01/2022
Last updated
08/01/2022
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