Marci Kaye Medenwald-sullivan BS

NPI 1629275995 - Counselor - 101Y00000X

NPI Details
NPI 1629275995
Gender Female
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
310 QUAIL HOLLOW PL
HATTIESBURG MS, 39402-8974, US
Phone (601) 264-8987
Fax
Business Location
310 QUAIL HOLLOW PL
HATTIESBURG MS, 39402-8974, US
Phone (601) 264-8987
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mrs. Marci Kaye Medenwald-sullivan BS NPI is 1629275995, taxonomy code is 101Y00000X Marci Kaye Medenwald-sullivan BS physically located at 310 Quail Hollow Pl, Hattiesburg MS, 39402-8974. NPI Number Marci Kaye Medenwald-sullivan BS has the Individual type.

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1629275995 NPI number is provided on an as is basis without warranty of any kind. 1629275995 is maintained by the National Plan & Provider Enumeration System. The contents of Marci Kaye Medenwald-sullivan BS are for informational purposes only.