Individual
DETRA ROUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 CEDAR LN, NATCHEZ, MS 39120-2136
(601) 493-3333
Mailing address
74 CEDAR LN, NATCHEZ, MS 39120-2136
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1790
MS
Other
Enumeration date
12/03/2008
Last updated
01/28/2025
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