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Individual

CHARLENE FAYE GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2007 WILDWOOD DR, PICAYUNE, MS 39466-2178
(228) 369-7747
Mailing address
2007 WILDWOOD DR, PICAYUNE, MS 39466-2178
(601) 447-4658

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-369625
MS

Other

Enumeration date
08/22/2025
Last updated
08/22/2025
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