Individual
DANYELLA TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 TURTLE CREEK DR STE 90, HATTIESBURG, MS 39402-1165
(601) 596-8937
Mailing address
PO BOX 18974, HATTIESBURG, MS 39404-8974
(601) 596-8937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C10562
MS
1041C0700X
Clinical Social Worker
128158
MA
1041C0700X
Clinical Social Worker
18488
LA
1041C0700X
Clinical Social Worker
5877C
AL
Other
Enumeration date
04/26/2023
Last updated
10/16/2024
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