Individual
MICKI JO DEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
3062 HIGHWAY 44 E, MCCOMB, MS 39648-8508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2109
MS
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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