Individual
XAVIERA MARIE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 & 158 HWY 51 NORTH, BATESVILLE, MS 38606
(662) 712-6267
Mailing address
860 E RIVER PLACE, STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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