Individual
DR. MARY S. NELUMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
1334 WOODFIELD DR, JACKSON, MS 39211-2026
(601) 750-4204
(601) 952-1971
Mailing address
1334 WOODFIELD DR, JACKSON, MS 39211-2026
(601) 750-4204
(601) 952-1971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C4951
MS
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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