Individual
MARY MORGAN SURRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 SANDY LN, LAUREL, MS 39443-9087
(601) 498-7248
Mailing address
1205 CRESTWOOD DR, LAUREL, MS 39440-1916
(601) 498-7248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3680
MS
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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