Individual
ANITA TWINER-WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 HAWTHORNE DR, LONG BEACH, MS 39560-8201
(601) 255-7937
Mailing address
719 24TH ST, GULFPORT, MS 39501-3408
(601) 255-7937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8040
MS
Other
Enumeration date
01/27/2014
Last updated
04/20/2022
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