NPI 1518336155

Donna C Ainsworth

Practitioner Supports Brokerage Agency Laurel, MS

Practice location

Address: 1240 Thomas Dr, Laurel, MS 39440-1079
Phone: (601) 606-1521
Fax: (601) 651-4002

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 10368716 (MS)

Other Supports Brokerage providers in Mississippi →

Registry record

NPI: 1518336155
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2015
Record last updated: 24 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.