Individual
MRS. JO ELLEN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
319 COURTHOUSE ROAD, SUITES B AND C, GULFPORT, MS 39507
(228) 897-7730
(228) 897-2121
Mailing address
PO BOX 7827, GULFPORT, MS 39506-7827
(228) 897-7730
(228) 897-2121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C1005
MS
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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