Individual
KELLY E HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
103 S 19TH AVE, HATTIESBURG, MS 39401-6171
(601) 544-4222
Mailing address
103 S 19TH AVE, HATTIESBURG, MS 39401-6171
(601) 544-4222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M7709
MS
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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