Individual
MRS. ROSE MARY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
6210 BERRYWOOD DR, JACKSON, MS 39213-7909
(601) 362-8798
Mailing address
6210 BERRYWOOD DR, JACKSON, MS 39213-7909
(601) 362-8798
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CO344
MS
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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