Individual
TERRYE-DANIELLE ELIZABETH RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1114 COMMONWEALTH BLVD, TUPELO, MS 38804-9301
(662) 840-6366
(662) 680-9797
Mailing address
2085 SPRINGFIELD DR, BELDEN, MS 38826-7022
(662) 210-3279
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M9253
MS
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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