Organization
LIFE APPS FOR FAMILIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROLYN FAITH BANKS LCSW (ADMINISTRATOR)
(601) 250-4505
Entity
Organization
Contact information
Practice address
612 DELAWARE AVE, SUITE 9, MCCOMB, MS 39648-4000
(601) 250-4505
(888) 719-7816
Mailing address
PO BOX 2481, MCCOMB, MS 39649-2481
(601) 250-4505
(888) 719-7816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
7505
LA
1041C0700X
Clinical Social Worker
Primary
C3010
MS
Other
Enumeration date
03/03/2013
Last updated
03/11/2013
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