Individual
ALICE TAAKE ENTREKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-4664
(228) 523-4336
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-4664
(228) 523-4336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
15864
MD
1041C0700X
Clinical Social Worker
Primary
C5410
MS
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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