Most Relevant Information
Provider Data
  | NPI Number: | 1003549908 | 
| Provider Name: | MICHELLE ANTONETTE CLAY BSW | 
| Entity Type: | Individual | 
| Taxonomy Code: | 101YM0800X | 
| Specialty: | Counselor | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 07/07/2022 | 
| Last Updated: | 07/07/2022 | 
Provider Practice Location
  635 W WILLIE MORRIS PKWY
      
      YAZOO CITY
      MS
      391947702
  Practice Location Phone/Fax
      | Phone: | 6627465712 | 
| Fax: | 6627468441 | 
Provider Mailing Location
  635 W WILLIE MORRIS PKWY
      
      YAZOO CITY
      MS
      391947702
  Provider Mailing Phone/Fax
      | Phone: | 6627564204 | 
| Fax: | 6627468441 |