Individual
MS. JANA LYNN MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 23RD AVE, GULFPORT, MS 39501-4612
(228) 284-2136
(228) 206-5980
Mailing address
2215 23RD AVE, GULFPORT, MS 39501-4612
(228) 284-2136
(228) 206-5980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C0739
MS
Other
Enumeration date
09/08/2006
Last updated
05/23/2019
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