Individual
CYNNA-ROSE CATRINA VIERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 LAKELAND TER, JACKSON, MS 39216-4702
(601) 982-7827
(601) 982-0800
Mailing address
PO BOX 12347, JACKSON, MS 39236-2347
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MS
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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