Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | ||
N | 104100000X | Social Worker | 801492794 | MS |
NPI | 1114544400 |
---|---|
Provider Name | Kiffany Nicole Rice |
First Address | Oxford, MS 38655-5392 |
Second Address | Oxford, MS 38655-5392 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2020 |
Last Update Date | 05/08/2021 |