Individual
LASHANDA BAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 20TH AVE S, MERIDIAN, MS 39301-5942
(601) 483-4821
Mailing address
107 2OTH AVENUE S, MERIDIAN, MS 39301
(601) 604-1866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
03/01/2021
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