Individual
SHERITA TOMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 GLENNOAK DR, BYRAM, MS 39272-9384
(601) 497-9416
Mailing address
4050 GLENNOAK DR, BYRAM, MS 39272-9384
(601) 497-9416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M8847
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093317570
—
MS
Enumeration date
11/10/2020
Last updated
11/30/2020
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