Individual
NAKIMIA AGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2123 CRABAPPLE DR, TUPELO, MS 38801-5164
(662) 401-5706
Mailing address
2123 CRABAPPLE DR, TUPELO, MS 38801-5164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5573
MS
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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