Organization
MAUREEN CIANCI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA M. CROSS (EXECUTIVE DIRECTOR)
(601) 799-5886
Entity
Organization
Contact information
Practice address
210 MITCHELL ST, PICAYUNE, MS 39466-4540
(601) 799-5886
(601) 799-3536
Mailing address
PO BOX 1789, PICAYUNE, MS 39466-1789
(601) 799-5886
(601) 799-3536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7306
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06188580
—
MS
Enumeration date
09/10/2007
Last updated
06/24/2008
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