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Individual

MS. PAT L CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-1155
Mailing address
845 S MADISON ST, TUPELO, MS 38801-4905

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7517
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00018203
MS
Enumeration date
07/11/2008
Last updated
01/28/2025
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