Individual
MS. MARY KLEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 VETERANS AVE, BLDG 25, BILOXI, MS 39531-2410
(228) 523-4799
Mailing address
400 VETERANS AVE, BLDG 25, BILOXI, MS 39531-2410
(228) 523-4799
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M8434
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8434
MS STATE BOARD OF EXAMINERS FOR SOCIAL WORKERS AND MARRIAGE & FAMILY THERAPISTS
MS
Enumeration date
09/26/2014
Last updated
09/26/2014
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