Individual
MRS. RHONDA GOODMAN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
913 21ST ST, MERIDIAN, MS 39301-2512
(601) 482-8494
Mailing address
913 21ST ST, MERIDIAN, MS 39301-2512
(601) 482-8494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C0478
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08071780
—
MS
Enumeration date
05/23/2007
Last updated
02/04/2009
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