Individual
SHARON JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 DIANNE DR, DIBERVILLE, MS 39540-3712
(228) 990-9118
Mailing address
322 DIANNE DR, DIBERVILLE, MS 39540
(228) 990-9118
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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