Individual
MRS. AMANDA SELF FLOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5149
Mailing address
13109 WINDROSE CIR, GULFPORT, MS 39503-5045
(228) 669-4530
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M5505
MS
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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