Individual
MONIQUE GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N STATE ST, JACKSON, MS 39202-2627
(662) 553-6382
Mailing address
7793 DAVIS PKWY, SOUTHAVEN, MS 38671-6217
(662) 360-6038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9839
TN
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
9839
TN
1041C0700X
Clinical Social Worker
C12111
MS
Other
Enumeration date
08/14/2022
Last updated
07/27/2026
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