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Individual

MRS. DETELLA RICKETTA BARRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW,LCSW

Contact information

Practice address
116 ALLEN HOLMES RD, BRAXTON, MS 39044-9549
(601) 382-4171
Mailing address
116 ALLEN HOLMES RD, BRAXTON, MS 39044-9549
(601) 382-4171

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW04072
RI

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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