Individual
MAE HELEN CARRAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1183 SIMPSON PARK RD, WEIR, MS 39772-8806
(662) 684-9200
Mailing address
1183 SIMPSON PARK RD, WEIR, MS 39772-8806
(662) 684-9200
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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