Individual
MRS. LASHONDA TRENNELL MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3452 PASCAGOULA ST, PASCAGOULA, MS 39567-3203
(228) 712-8024
(228) 712-8027
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(228) 712-8024
(228) 712-8027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/16/2011
Last updated
08/13/2021
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