Individual
ALIX DEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
103 S 19TH AVE, HATTIESBURG, MS 39401-6171
(601) 705-1901
(601) 705-1952
Mailing address
PO BOX 1030, HATTIESBURG, MS 39403-1030
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M6876
MS
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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