Individual
STELLA RUTH BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-5129
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-5129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
08/15/2013
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