Individual
SANJUANITA ARREDONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
417 SECURITY SQ, GULFPORT, MS 39507-1922
(707) 728-5131
(855) 491-1095
Mailing address
PO BOX 255, GULFPORT, MS 39502-0255
(707) 728-5131
(855) 491-1095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8063
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018213
—
MS
Enumeration date
07/28/2016
Last updated
01/05/2025
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