Individual
MRS. MICHELLE ELAINE MERSDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3236 OLD 63 N, LUCEDALE, MS 39452-3682
(601) 766-0054
Mailing address
3236 OLD 63 N, LUCEDALE, MS 39452-3682
(601) 766-0054
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1776
MS
Other
Enumeration date
06/29/2010
Last updated
06/25/2013
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