Individual
OMEGA CARRAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11966 OL OAK DR, GULFPORT, MS 39503-5236
(504) 994-8868
Mailing address
1104 HANLEY RD, OCEAN SPRINGS, MS 39564-3118
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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