Individual
MISS MARY ELIZABETH ANNE SAMSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5422 CLINTON BLVD, JACKSON, MS 39209-3050
(601) 923-1644
Mailing address
4945 CLINTON TINNIN RD, CLINTON, MS 39056-9424
(601) 665-3411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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