Individual
TYREE TRELANE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 COURTHOUSE RD, GULFPORT, MS 39507-1890
(228) 897-7465
(228) 897-7467
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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