Kristian Channing Dumas

NPI #1306490107 in Gautier, Mississippi

Provider Information

NPI Number: 1306490107
Entity Type: Individual
Name: Kristian Channing Dumas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jul 30, 2019
Last Updated: Jul 30, 2019

Practice Location

Address: 3407 SHAMROCK CT
City: Gautier
State: Mississippi
ZIP Code: 39553-5337
Phone: (228) 497-0690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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