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Organization
THE W: THERAPEUTIC GROUP, LLC
Active
Organization
THE W: THERAPEUTIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORETTA JACKSON WALKER LCSW, PHD (CO-OWNER/MANAGER)
(662) 441-2056
Entity
Organization
Contact information
Practice address
104 OWENS ST, MARKS, MS 38646-2104
(662) 441-2056
Mailing address
104 OWENS ST, MARKS, MS 38646-2104
(662) 441-2056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
05/14/2025
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