Individual
MR. GERALD FREDERICK JOSEPH ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, RN
Contact information
Practice address
15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
(601) 434-1358
Mailing address
PO BOX 13, PERKINSTON, MS 39573-0001
(601) 434-1358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2249C
AL
1041C0700X
Clinical Social Worker
Primary
C6761
MS
163W00000X
Registered Nurse
R894867
MS
Other
Enumeration date
10/26/2006
Last updated
08/06/2013
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