Individual
DANIELLE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 MISSION 66, VICKSBURG, MS 39180-3711
(601) 738-5820
Mailing address
1905 MISSION 66, VICKSBURG, MS 39180-3711
(601) 738-5820
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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