Individual
MRS. KATHY LUPER WOODLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1855 CRANE RIDGE DR, JACKSON, MS 39216-4944
(601) 982-8700
Mailing address
1315 BELVOIR PL, JACKSON, MS 39202-1208
(601) 969-1396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0503
MS
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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