Individual
KERIANNE MARIE LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 DORMITORY ROW WEST, UNIVERSITY, MS 38677
(662) 915-1081
Mailing address
PO BOX 1848, UNIVERSITY, MS 38677-1848
(662) 915-1081
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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