Individual
KENYA GATLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1088 HOMESTEAD RD, MERIDIAN, MS 39301-8857
(601) 686-5843
Mailing address
1088 HOMESTEAD RD, MERIDIAN, MS 39301-8857
(601) 686-5843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8750
MS
Other
Enumeration date
03/05/2021
Last updated
03/06/2021
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