Individual
JENNIFER L RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 E CHURCH ST, BOONEVILLE, MS 38829-3711
(662) 728-2488
Mailing address
609 E CHURCH ST, BOONEVILLE, MS 38829-3711
(662) 728-2488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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