Individual
JUDITH ROCHELLE HAVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(228) 497-0690
(228) 497-0794
Mailing address
1290 BRUSHY CREEK RD, LUCEDALE, MS 39452-8717
(601) 508-9643
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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