Individual
MRS. ANN M ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
98 JEFF DAVIS AVE, SUITE B, LONG BEACH, MS 39560-6160
(228) 236-7608
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-3473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5734
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09233770
—
MS
Enumeration date
09/27/2010
Last updated
04/27/2018
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