Individual
DANIELLE CHRISTINE SEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1900 N WEST ST, SUITE D, JACKSON, MS 39202-1033
(601) 709-1253
Mailing address
1107 ALIXANDRIA DR, BYRAM, MS 39272-6420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C3862
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08138320
—
MS
Enumeration date
05/03/2007
Last updated
07/08/2007
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