Individual
DR. JAMES DOUGLAS STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW, LCSW
Contact information
Practice address
41647 HIGHWAY 315, BATESVILLE, MS 38606-8353
(662) 609-1836
(662) 915-6917
Mailing address
41647 HIGHWAY 315, BATESVILLE, MS 38606-8353
(662) 609-1836
(662) 915-6917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C0780
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0780
STATE SOCIAL WORK LICENSE
MS
Enumeration date
05/14/2007
Last updated
07/08/2007
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