Stephanie Collum
NPI #1053046748 in Jackson, Mississippi
Provider Information
- NPI Number
- 1053046748
- Entity Type
- Individual
- Name
- Stephanie Collum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 18, 2022
- Last Updated
- Jul 18, 2022
Practice Location
- Address
- 4780 I 55 N STE 105
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39211-5542
- Phone
- (601) 956-4816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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