Individual
CORANN FONDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
152 HIGHWAY 7 SOUTH, OXFORD, MS 38655, OXFORD, MS 38655
(662) 234-7521
Mailing address
152 HIGHWAY 7 SOUTH, OXFORD, MS 38655, OXFORD, MS 38655
(662) 234-7521
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
W9144
MS
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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