Individual
JESSICA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
404 N FIR AVE STE B, COLLINS, MS 39428-4201
(601) 517-5041
(601) 765-3247
Mailing address
PO BOX 1781, COLLINS, MS 39428-1781
(601) 765-5041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C5996
MS
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
12/01/2022
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