Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE MILLER BRYANT LCSW (SOCIAL WORKER)
(228) 523-5000
Entity
Organization
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
0904004044
VA
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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