Individual
MS. SALLY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1601 W MAIN ST STE D, TUPELO, MS 38801-3300
(662) 231-6195
Mailing address
1601 W MAIN ST STE D, TUPELO, MS 38801-3300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0127
MS
Other
Enumeration date
04/22/2014
Last updated
07/29/2024
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