Individual
MS. LADYE HARRIETT DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 N STATE ST, SUITE 100, JACKSON, MS 39202-1689
(601) 213-9588
(601) 944-9770
Mailing address
303 WOODRUN DR, RIDGELAND, MS 39157-2504
(601) 213-9588
(601) 944-9770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7280
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09650210
—
MS
01
—
C7280
LCSW ID
MS
Enumeration date
05/18/2007
Last updated
07/09/2007
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