Individual
MR. SERGIO I GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2117 BROADWAY DR., HATTIESBURG, MS 39402-3210
(601) 288-8050
(601) 288-8058
Mailing address
2117 BROADWAY DR., HATTIESBURG, MS 39402-3210
(601) 288-8050
(601) 288-8058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5728
MS
Other
Enumeration date
08/03/2006
Last updated
04/10/2025
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