Individual
KERRI FELICIA VOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 W PINE ST, HATTIESBURG, MS 39401-3835
(601) 402-3495
Mailing address
412 S 21ST AVE, HATTIESBURG, MS 39401-7323
(601) 402-3495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8968
MS
1041S0200X
School Social Worker
C8968
MS
Other
Enumeration date
11/30/2020
Last updated
01/12/2021
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