Individual
NIN-SARAI SHIRLEY FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648
(601) 249-4214
(601) 249-4234
Mailing address
1701 WHITE ST, PO BOX 768, MCCOMB, MS 39648
(601) 249-4214
(601) 249-4234
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
04/05/2021
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