Individual
MRS. TRISH ANNE BRIX-BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36 PANTHER STADIUM DR, PETAL, MS 39465-3632
(601) 450-2144
(601) 450-2145
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 288-8058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7923
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06955563
—
MS
Enumeration date
05/08/2012
Last updated
02/09/2024
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