Individual
KATRYN SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 S 19TH AVE, HATTIESBURG, MS 39401-6171
(601) 544-4641
(601) 582-1607
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3704
MS
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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