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Individual

MS. SARAH JANE LEATH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FPMHNP

Contact information

Practice address
98 BURNHAM RD, SUITE A, BRANDON, MS 39042-2703
(601) 664-0204
(601) 664-0904
Mailing address
208 PINELEAF CV, BRANDON, MS 39047-4451
(601) 919-1180
(601) 919-1180

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R855174
MS

Other

Enumeration date
06/18/2006
Last updated
07/08/2007
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