Organization
SOLLEVAMENTI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE WOODLEY (OWNER/SOLE MEMBER)
(769) 206-0020
Entity
Organization
Contact information
Practice address
499 KEYWOOD CIR STE B, FLOWOOD, MS 39232-3001
(769) 206-0020
Mailing address
PO BOX 753, JACKSON, MS 39205-0753
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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