Individual
BRANDI ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
200 N CONGRESS ST, SUITE 100, JACKSON, MS 39201-1902
(601) 326-3744
(601) 326-3752
Mailing address
200 N CONGRESS ST, SUITE 100, JACKSON, MS 39201-1902
(601) 326-3744
(601) 326-3752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
W6600
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016925
—
MS
Enumeration date
07/02/2010
Last updated
07/02/2010
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