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Individual

HANNAH TINGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-3588
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 206-6024
(601) 206-6052

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
MS

Other

Enumeration date
06/16/2016
Last updated
01/24/2017
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