Individual
RODGER WASSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 824-0342
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
(601) 824-0342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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