Individual
MRS. STEPHANIE DION SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 RAWLS DR STE 900, MCCOMB, MS 39648-2864
(601) 730-4401
Mailing address
1037 BILL BACOT RD, MCCOMB, MS 39648-8459
(601) 551-1868
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C4649
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05187326
—
MS
Enumeration date
09/10/2008
Last updated
03/25/2019
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