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Individual

MELODY MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 EARL FRYE BLVD, AMORY, MS 38821-5516
(662) 257-4048
(662) 257-4080
Mailing address
4 ANNABELLE CV, AMORY, MS 38821-2625
(662) 315-6679
(662) 256-8314

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3129
MS
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
07/29/2015
Last updated
10/17/2018
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