Organization
CORNELIA SWAYZE, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIA SWAYZE LCSW (OWNER)
(228) 363-2211
Entity
Organization
Contact information
Practice address
4423 LEISURE TIME DR, DIAMONDHEAD, MS 39525-3221
(228) 363-2211
(228) 255-6494
Mailing address
7619 FAIRWAY DR, DIAMONDHEAD, MS 39525-3436
(228) 363-2211
(228) 255-6494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C4648
MS
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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