Individual
MAHALIA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
152 MCDONALD DR, MADISON, MS 39110-9098
(160) 181-3124
Mailing address
152 MCDONALD DR, MADISON, MS 39110-9098
(601) 813-1241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6305
MS
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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