Individual
LINDSEY TIMM DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 N CONGRESS ST, SUITE 100, JACKSON, MS 39201-1902
(601) 355-8634
Mailing address
114 SHERWOOD DR, BRANDON, MS 39047-7800
(601) 597-5228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7610
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016925
—
MS
Enumeration date
11/24/2009
Last updated
03/04/2015
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