Individual
LAPORTIA FRANKS HENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9851 HIGHWAY 178, OLIVE BRANCH, MS 38654-3214
(662) 253-8324
Mailing address
13534 BIRCH BEND, OLIVE BRANCH, MS 38654
(601) 832-4099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P-0914
MS
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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