Individual
MS. MARILYN MAIZLAND KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
6026 FERNCREEK DR, JACKSON, MS 39211-2725
(601) 454-9117
Mailing address
6026 FERNCREEK DR, JACKSON, MS 39211-2725
(601) 454-9117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
917
MS
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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