Organization
PRISCILLA PEARSON, LCSW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA PEARSON L.C.S.W. (PRESIDENT)
(601) 355-2060
Entity
Organization
Contact information
Practice address
840 E RIVER PL, SUITE 504, JACKSON, MS 39202-3493
(601) 355-2060
(601) 969-7160
Mailing address
840 E RIVER PL, SUITE 504, JACKSON, MS 39202-3493
(601) 355-2060
(601) 969-7160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09203336
—
MS
Enumeration date
11/15/2006
Last updated
01/24/2011
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