Organization
PROGRESS PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATANYA MICHELLE HOPSON LCSW (SOLE OWNER/MANAGER)
(601) 917-1776
Entity
Organization
Contact information
Practice address
5144 CLEAR CREEK DR, MERIDIAN, MS 39301-8896
(601) 917-1776
Mailing address
5144 CLEAR CREEK DR, MERIDIAN, MS 39301-8896
(601) 917-1776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C4820
MS
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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