NPI 1720702285

Lisa Clary, CPSS

Practitioner Peer Specialist Hattiesburg, MS

Practice location

Address: 103 S 19th Ave, Hattiesburg, MS 39401-6171
Phone: (601) 544-4641
Mailing address: PO Box 18679, Hattiesburg, MS 39404-8679

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 0634 (MS)

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Registry record

NPI: 1720702285
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2022
Record last updated: 28 Sep 2022

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.