Individual
MRS. MARY MARGARET LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7160 TCHULAHOMA RD, BLDG. B STE.4, SOUTHAVEN, MS 38671-9266
(662) 349-2733
(662) 536-1849
Mailing address
7160 TCHULAHOMA RD, BLDG. B STE.4, SOUTHAVEN, MS 38671-9266
(662) 349-2733
(662) 536-1849
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
136079
MS
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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