Individual
ELYSE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2826 RUTHERFORD DR, SOUTHAVEN, MS 38672-7138
(901) 410-0562
Mailing address
2826 RUTHERFORD DR, SOUTHAVEN, MS 38672-7138
(901) 410-0562
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
TN
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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