Individual
MS. ERIN KACZMAREK MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
415 PEMBROOKE DR, MADISON, MS 39110-8638
(910) 581-0800
Mailing address
415 PEMBROOKE DR, MADISON, MS 39110-8638
(910) 581-0800
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
MS
374J00000X
Doula
—
—
Other
Enumeration date
07/17/2023
Last updated
10/26/2023
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