Individual
TAMMY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 OSCAR ST, RULEVILLE, MS 38771-4116
(662) 756-4698
Mailing address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
(662) 453-6211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4719
MS
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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