Individual
CLARENCE E COSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1268 COTTAGE DR, GREENVILLE, MS 38703-6625
(166) 293-1331
Mailing address
PO BOX 1204, GREENVILLE, MS 38702-1204
(662) 931-3312
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
W1797
MS
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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