Individual
MISS TEMPIE BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 FLEETWOOD DR, VICKSBURG, MS 39180-2578
(601) 629-9419
Mailing address
111 FLEETWOOD DR, VICKSBURG, MS 39180-2578
(601) 629-9419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C1729
MS
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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