Individual
MRS. ALEXIS NICOLE PYAWASIT-VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P-PLAT
Contact information
Practice address
210 HOSPITA CIRCLE, CHOCTAW, MS 39350
(601) 389-4150
Mailing address
210 HOSPITA CIRCLE, CHOCTAW, MS 39350
(601) 389-4150
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
17
MS
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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