Individual
DEBRA PANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCMHT
Contact information
Practice address
1509 S ADAMS ST STE D, FULTON, MS 38843-6621
(662) 523-9831
Mailing address
1509 S ADAMS ST STE D, FULTON, MS 38843-6621
(662) 523-9831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8577
MS
Other
Enumeration date
08/05/2015
Last updated
09/16/2025
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