Individual
JEFFREY MAURICE BERNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
601 FOOTE ST, CORINTH, MS 38834-4834
(662) 287-4424
Mailing address
601 FOOTE ST, CORINTH, MS 38834-4834
(662) 287-4424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01687
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25774-7
BLUE CROSS
RI
01
—
410696
BLUECHIP
RI
05
—
JB41625
—
RI
Enumeration date
07/27/2006
Last updated
10/29/2018
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