Individual
TERRI ANNE LIZANA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-4266
(228) 523-4384
Mailing address
2512 HALSEL ST, GULFPORT, MS 39503-3616
(228) 831-2720
(228) 523-4384
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C0249
MS
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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