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General NPI Number Information
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NPI Number | 1396617320
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Entity Type | Individual
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Provider Name | MICHELLE PALMERTREE OUSLEY LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 100 STARR AVE STE A
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City | STARKVILLE
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State | MS
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Zip | 39759-4032
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Country | US
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Telephone | 662-268-8059
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Fax | 662-268-8109
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Provider Business Mailing Address
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Address Line | 1867 CRANE RIDGE DR STE 150C
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City | JACKSON
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State | MS
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Zip | 39216-4982
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Country | US
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Telephone | 662-268-8059
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Fax | 662-268-8109
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | M11712
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License Number State | MS
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