Individual
MRS. PAQUITA E. LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M5046
MS
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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