Individual
ENDA HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2071 HIGHWAY 35 S STE C, FOREST, MS 39074-7838
(601) 469-2422
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(601) 469-2422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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