Individual
NIYA SIMONE DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
122 DESOTO AVE, CLARKSDALE, MS 38614-4420
(662) 592-5397
Mailing address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4982
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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