Individual
QUINTARA A REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2623 5TH ST N, COLUMBUS, MS 39705-2009
(662) 241-7091
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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