Clary, Lisa

Clary, Lisa is an individual health care provider with primary practice located at 103 S 19Th Ave , Hattiesburg MS 39401-6171. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clary, Lisa can be contacted via phone (601) 544-4641.

Contact Information

Primary practice address
103 S 19Th Ave Hattiesburg MS 39401-6171
Phone: (601) 544-4641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 0634 Mississippi

Profile Details

NPI number 1720702285
LBN Legal business name Clary, Lisa
Credentials CPSS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2022
Last updated Sep 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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