Individual
MISS MORGAN LYN PUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
1000 STATE ST, CORINTH, MS 38834-9307
(662) 286-5469
Mailing address
240 EASTPORT ST, BURNSVILLE, MS 38833-9334
(662) 660-9447
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
667
MS
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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