SOPHIE CHAMPAGNE BLACK

KOSCIUSKO, MS
NPI1093920522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT0533)
Enumeration Date2007-05-10
Last Update Date2009-12-29
Business Address
-- SOPHIE CHAMPAGNE BLACK
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090-3242
Phone number: 662-289-3499
Mailing Address
-- SOPHIE CHAMPAGNE BLACK
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
Similar providers in Kosciusko, MS
RAY SCOTT COCKROFT
HANNAH TINGLE
TANYA L STEEN
DOROTHY MICHELE FULGHAM
IMANI COMMUNITY OUTREACH CENTER
KELLY KIGHT
MYLISSA HODGES
EMILY COOK GROSS
MEMORIE FINNIE
SARAH PUTT