Individual
MRS. LAKESHA VARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 CATHERINE BLVD, CLINTON, MS 39056-6607
(601) 238-5034
Mailing address
145 CATHERINE BLVD, CLINTON, MS 39056-6607
(601) 238-5034
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
MS42535
MS
405300000X
Prevention Professional
Primary
MS4253533
MS
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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