Individual
DE'ANDREA LATRICE EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 BROWNING ROAD, CLEVELAND, MS 38732
(662) 809-6820
(662) 907-0621
Mailing address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3877
MS
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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