Individual
CATHY MCGRUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 WILLIE BURRELL DR, CANTON, MS 39046-9550
(601) 540-4781
Mailing address
129 WILLIE BURRELL DR, CANTON, MS 39046-9550
(601) 540-4781
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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