Individual
CHINNIKA LATRICE CRISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4541 N STATE ST, JACKSON, MS 39206-5308
(601) 533-7017
Mailing address
PO BOX 746085, ATLANTA, GA 30374-6085
(469) 727-6675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8048
MS
Other
Enumeration date
02/14/2020
Last updated
02/03/2025
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