Organization
JOAN S WALDROUP, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN S WALDROUP LCSW (OWNER)
(228) 860-0506
Entity
Organization
Contact information
Practice address
1403 43RD AVE, GULFPORT, MS 39501-2545
(228) 234-9460
(228) 241-0326
Mailing address
PO BOX 7475, GULFPORT, MS 39506-7475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
12/14/2025
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