Individual
MRS. CARLA DENISE MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3048 BIENVILLE DR, JACKSON, MS 39212-2540
(601) 946-3256
Mailing address
3048 BIENVILLE DR, JACKSON, MS 39212-2540
(601) 946-3256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5523
MS
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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