Individual
CHANDRA RAE DEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 BURKETTS CREEK DR, HATTIESBURG, MS 39401-5080
(773) 449-0769
Mailing address
74 BURKETTS CREEK DR, HATTIESBURG, MS 39401-5080
(773) 449-0769
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
MS
103K00000X
Behavior Analyst
Primary
—
MS
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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