Individual
LILLIAN DECARLA ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
172 DIXON RD, HARRISVILLE, MS 39082-4400
(601) 362-4471
Mailing address
172 DIXON RD, HARRISVILLE, MS 39082-4400
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
1003777434
MS
Other
Enumeration date
11/24/2025
Last updated
12/01/2025
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