Individual
MADISON LEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 FRANKLINTON ST, TYLERTOWN, MS 39667-2736
(601) 803-3019
(601) 803-5155
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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