Individual
TOMMY J FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 HIGHWAY 13 S, MORTON, MS 39117-3353
(601) 732-7012
(601) 732-7013
Mailing address
1515 HOMEWOOD RD APT 310, FOREST, MS 39074-7428
(601) 201-7874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6810
MS
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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