Individual
CHARLIE 6017655661 MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 911, MOUNT OLIVE, MS 39119-0911
(601) 765-5661
Mailing address
PO BOX 911, MOUNT OLIVE, MS 39119-0911
(601) 765-5661
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
6Y2012348
MS
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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