Individual
MARY ANNE M DUEITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-0385
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-0385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
089.0115989
VT
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
SW14791
FL
Other
Enumeration date
09/13/2013
Last updated
03/19/2025
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