Individual
GENEVIEVE CELESTE GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MPH, CHES
Contact information
Practice address
5903 RIDGEWOOD RD, JACKSON, MS 39211-3700
(601) 984-2955
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7088
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03070721
—
MS
Enumeration date
12/28/2015
Last updated
04/19/2016
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