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Individual

MS. CARRIE VIRGINIA PATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2112 BIENVILLE BLVD, SUITE L-1, OCEAN SPRINGS, MS 39564-3052
(228) 990-8980
(228) 215-1721
Mailing address
2112 BIENVILLE BLVD, SUITE L-1, OCEAN SPRINGS, MS 39564-3052
(228) 990-8980
(228) 215-1721

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6890
MS

Other

Enumeration date
07/07/2010
Last updated
05/01/2019
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