KELLY LOGAN STAFFORD

RIDGELAND, MS
NPI1578833521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MS  1320)
Enumeration Date2012-01-09
Last Update Date2012-01-09
Business Address
Mrs. KELLY LOGAN STAFFORD LPC
357 TOWNE CENTER PL SUITE 402
RIDGELAND, MS 39157-4870
Phone number: 601-573-7908
Mailing Address
Mrs. KELLY LOGAN STAFFORD LPC
PO BOX 2582
MADISON, MS 39130-2582
Phone number: 601-573-7908