Individual
KAISLYNN ARCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 BROWNING ROAD EXT, GREENWOOD, MS 38930-9417
(662) 453-6211
Mailing address
2504 BROWNING ROAD EXT, GREENWOOD, MS 38930-9417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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