Individual
MARTISHA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5345 HIGHWAY 18 W, JACKSON, MS 39209-9421
(601) 927-0188
Mailing address
PO BOX 2305, CLINTON, MS 39060-2305
(601) 927-0188
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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