Individual
LATRENDA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1024 LOCUST ST, MARKS, MS 38646-1913
(276) 289-5045
Mailing address
1024 LOCUST ST, MARKS, MS 38646-1913
(276) 289-5045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C12059
MS
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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