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Individual

MRS. RUTHIE BOBO ZINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
605 STADIUM DR, HATTIESBURG, MS 39401-4156
(601) 450-0310
(601) 450-0321
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-2493

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C1568
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00570580
MS
Enumeration date
12/19/2012
Last updated
02/22/2016
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