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Individual

TESSICA C. BONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10282 HYMAN DR, OLIVE BRANCH, MS 38654-1854
(662) 210-0203
Mailing address
10282 HYMAN DR, OLIVE BRANCH, MS 38654-1854
(662) 210-0203

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8655
TN
1041C0700X
Clinical Social Worker
Primary
9443-C
AR
1041C0700X
Clinical Social Worker
M7914
MS

Other

Enumeration date
09/26/2011
Last updated
06/18/2025
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