Individual
JOY A. WEIDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 STREET A STE C, PICAYUNE, MS 39466
(601) 215-6087
(601) 799-3536
Mailing address
120 STREET A STE C, PICAYUNE, MS 39466-5466
(601) 215-6087
(601) 799-3536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7533
MS
1041C0700X
Clinical Social Worker
M7533
MS
Other
Enumeration date
07/22/2010
Last updated
05/31/2018
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