Individual
PATRICIA COCKRELL HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4150
(601) 389-4152
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4150
(601) 389-4152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C10332
MS
Other
Enumeration date
11/04/2021
Last updated
09/12/2022
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