Individual
MS. MARTHA HEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5701 N HILLS ST, MERIDIAN, MS 39307-2903
(601) 581-8155
(601) 581-7676
Mailing address
PO BOX 4128, MERIDIAN, MS 39304-4128
(601) 581-7562
(601) 581-7676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C0977
MS
Other
Enumeration date
09/28/2010
Last updated
11/05/2010
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