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Organization

STEPHANIE SPEARS, LCSW, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BECKY GREEN (BILLING MANAGER)
(601) 835-3306
Entity
Organization

Contact information

Practice address
300 RAWLS DR STE 900, MCCOMB, MS 39648-2864
(601) 730-4401
Mailing address
PO BOX 428, SUMMIT, MS 39666-0428
(601) 730-4401

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/23/2019
Last updated
09/23/2019
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