Individual
PATRICIA EVERETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1155 ROSENBAUM AVE, BUILDING 405, NAVAL AIR STATION, MERIDIAN, MS 39309-5062
(601) 679-3839
Mailing address
1155 ROSENBAUM AVE, BUILDING 405, NAVAL AIR STATION, MERIDIAN, MS 39309-5062
(601) 679-3839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C1440
MS
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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