Individual
KAITLYN FLICKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 HIGHWAY 35 S STE 1, FOREST, MS 39074-8829
(601) 469-3320
(601) 469-3323
Mailing address
PO BOX D, FOREST, MS 39074-0558
(601) 469-4151
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M9152
MS
Other
Enumeration date
04/05/2023
Last updated
04/06/2023
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