Individual
MS. STEPHANIE EATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
805 HWY 589, PURVIS, MS 39475
(601) 794-6549
(601) 584-4053
Mailing address
PO BOX 489, PURVIS, MS 39475-0489
(601) 794-6549
(601) 584-4053
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M6521
MS
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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