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Individual

LINDA L WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
407 BRIARWOOD DR STE 209, JACKSON, MS 39206-3036
(601) 957-7670
Mailing address
407 BRIARWOOD DR STE 20, JACKSON, MS 39206-3040
(601) 957-7670
(601) 957-7640

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C1127
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00508083
MS
Enumeration date
08/14/2007
Last updated
02/02/2024
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