Imani Community Outreach Center
NPI #1477829182 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1477829182
- Entity Type
- Organization
- Organization Name
- Imani Community Outreach Center
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Mar 27, 2012
- Last Updated
- Mar 27, 2012
Practice Location
- Address
- 301 E JEFFERSON ST
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3719
- Phone
- (662) 289-7676
Authorized Official
- Name
- TRICIA DUNCAN
- Title
- BILLER
- Phone
- (601) 878-6945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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| Sophie Champagne Black |  AI Deep Dive |
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| MRS. Tanya L Steen, O.T. | AI Deep Dive |
| Mylissa Hodges | AI Deep Dive |
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