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Individual

JACQUELINE BIGGS EIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
604 JEFFERSON STREET, NATCHEZ, MS 39120
(601) 597-2813
Mailing address
721 NORTH PEARL STREET, 5TH FLOOR, NATCHEZ, MS 39120
(601) 597-2813

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5186
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05250769
MS
01
C5186
MS BOARD OF EXAMINERS
MS
Enumeration date
03/26/2008
Last updated
09/28/2022
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