Individual
JACQUELINE B CARRENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 684-2173
(601) 249-4234
Mailing address
125 LOWER WOODVILLE RD, APT # H 163, NATCHEZ, MS 39120-4453
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
W3626
MS
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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