Individual
MS. MICHELE BASIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
904 DESOTO ST, OCEAN SPRINGS, MS 39564
(228) 872-8429
(228) 872-0226
Mailing address
904 DESOTO ST, OCEAN SPRINGS, MS 39564-3737
(228) 872-8429
(228) 872-0226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7305
MS
1041C0700X
Clinical Social Worker
LCSW73215
CA
Other
Enumeration date
10/19/2006
Last updated
05/19/2018
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