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Individual

AKELLA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1721 W 10TH ST, LAUREL, MS 39440-2540
(601) 425-9322
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1906
(601) 705-1952

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/27/2021
Last updated
05/27/2021
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