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Individual

SANDRA GIDDENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
226 E MAIN ST STE C, SENATOBIA, MS 38668-2133
(662) 503-7384
(662) 214-6190
Mailing address
2312 RADER CREEK RD, SARAH, MS 38665-3137
(662) 503-7384
(662) 214-6190

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2367-C
AR
1041C0700X
Clinical Social Worker
Primary
C8823
MS

Other

Enumeration date
01/15/2007
Last updated
06/06/2024
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