Individual
ALLEN SEAN DALAFAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1302 LEE AVE, HATTIESBURG, MS 39407-0001
(601) 558-2547
Mailing address
2556 RAMAH TRL SW, MC CALL CREEK, MS 39647-8004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8046
MS
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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