Individual
NIVEA M DEPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
302 S SPRING ST, TUPELO, MS 38804-4853
(662) 841-8020
(662) 841-8021
Mailing address
302 S SPRING ST, TUPELO, MS 38804-4853
(662) 841-8020
(662) 841-8021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C5875
MS
1041C0700X
Clinical Social Worker
Primary
C5975
MS
Other
Enumeration date
05/27/2011
Last updated
04/10/2019
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