Individual
CARLISSA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 WHALEY DR STE B&C, HOLLY SPRINGS, MS 38635-3253
(662) 247-3220
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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