Individual
MERISSA PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
384 GOODMAN RD E # 133, SOUTHAVEN, MS 38671-9522
(217) 816-6341
Mailing address
384 GOODMAN RD E # 133, SOUTHAVEN, MS 38671-9522
(217) 816-6341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019250
IL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/17/2018
Last updated
01/16/2026
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