Individual
FAWN MCCLEAVE FRANCIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1703 MONROE ST, VICKSBURG, MS 39180-3549
(601) 868-0871
Mailing address
1703 MONROE ST, VICKSBURG, MS 39180-3549
(601) 868-0871
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
816
MS
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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