Individual
KATHERINE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
7075 GOLDEN OAKS LOOP W STE 14, SOUTHAVEN, MS 38671-9013
(662) 228-0130
Mailing address
7075 GOLDEN OAKS LOOP W STE 14, SOUTHAVEN, MS 38671-9013
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
220047
MS
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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