Individual
ANN SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-0157
(601) 984-5257
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-0157
(601) 984-5257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7823
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01620063
—
MS
Enumeration date
06/27/2016
Last updated
09/20/2016
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