Individual
MISS KATIE ELIZABETH BEDDINGFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
357 TOWNE CENTER BLVD., SUITE 103, RIDGELAND, MS 39157
(601) 624-7352
Mailing address
223 CHIPPEWA CIR, JACKSON, MS 39211-6517
(601) 624-7352
(769) 233-7865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8247
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8247
MS BOARD OF SOCIAL WORKERS
MS
Enumeration date
10/20/2014
Last updated
03/11/2024
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