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Individual

LAQUISHA RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
303 N MADISON ST, CORINTH, MS 38834-5072
(662) 286-9883
Mailing address
303 N MADISON ST, CORINTH, MS 38834-5072
(662) 286-9883

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/18/2016
Last updated
04/18/2016
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