Individual
MRS. LAMIA R HAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, RBT
Contact information
Practice address
3505 PEMBERTON SQUARE BLVD STE 24, VICKSBURG, MS 39180-5563
(769) 302-0182
Mailing address
1111 BAYOU DR, TALLULAH, LA 71282-4701
(601) 529-6370
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
164W00000X
Licensed Practical Nurse
321376
MS
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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