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Organization
CARRIE VIRGINIA PATE THERAPY CENTER, LLC
Active
Organization
CARRIE VIRGINIA PATE THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE V PATE LCSW (OWNER AND PRACTITIONER)
(228) 990-8980
Entity
Organization
Contact information
Practice address
2112 BIENVILLE BLVD, SUITE L-1, OCEAN SPRINGS, MS 39564-3052
(228) 990-8980
(228) 215-1721
Mailing address
2112 BIENVILLE BLVD, SUITE L-1, OCEAN SPRINGS, MS 39564-3052
(228) 215-1744
(228) 215-1721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6890
MS
Other
Enumeration date
01/17/2016
Last updated
05/01/2019
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