Individual
MRS. GAYDEN FISHER CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5760 I 55 N, SUITE 450, JACKSON, MS 39211-2651
(601) 956-4816
(601) 956-4817
Mailing address
PO BOX 13509, JACKSON, MS 39236-3509
(601) 956-4816
(601) 956-4817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6354
MS
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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