Individual
PEGGY L. MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
54 SERGEANT PRENTISS DR, NATCHEZ, MS 39120-4726
(601) 443-2139
Mailing address
54 SERGEANT PRENTISS DR, NATCHEZ, MS 39120-4726
(601) 443-2139
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
C1997
MS
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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