Individual
MARIAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4100 MAMIE ST, HATTIESBURG, MS 39402-1735
(601) 705-1906
Mailing address
110 PATTON AVE, HATTIESBURG, MS 39401-6155
(601) 582-1111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M5242
MS
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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