Individual
ANNA CLYDE NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5455
Mailing address
415 E SECOND ST, LONG BEACH, MS 39560-6202
(423) 400-1807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119998
IA
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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