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Individual

MRS. KIMMIE MEDINA EARLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6408 PALMETTO POINTE DR, OCEAN SPRINGS, MS 39564-8823
(910) 616-9446
Mailing address
6408 PALMETTO POINTE DR, OCEAN SPRINGS, MS 39564-8823
(910) 616-9446

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1342
NC
106H00000X
Marriage & Family Therapist
Primary
T0509
MS

Other

Enumeration date
05/22/2007
Last updated
05/05/2019
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