Organization
THE PREMIER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAMIE ELIZABETH SWIMS LCSW (OWNER)
(662) 809-3794
Entity
Organization
Contact information
Practice address
983 S LINE ST, GRENADA, MS 38901-3723
(662) 809-3794
(662) 226-3794
Mailing address
983 S LINE ST, GRENADA, MS 38901-3723
(662) 809-3794
(662) 226-3794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6400
MS
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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