Individual
KASY ATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N DIVISION ST, WEST POINT, MS 39773-2085
(662) 494-4867
Mailing address
801 N DIVISION ST, WEST POINT, MS 39773-2085
(662) 494-4867
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M9655
MS
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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