Individual
MS. MARY JAN TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1701 WHITE STREET, MCCOMB, MS 39648
(601) 249-4228
(601) 249-4244
Mailing address
PO BOX 768, 1701 WHITE STREET, MCCOMB, MS 39648
(601) 249-4228
(601) 249-4244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09416
TX
1041C0700X
Clinical Social Worker
Primary
—
TX
Other
Enumeration date
06/01/2005
Last updated
08/14/2013
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