Individual
THERESA FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15024 MARTIN LUTHER KING JR BLVD, GULFPORT, MS 39501-8306
(228) 864-0003
Mailing address
730 E BEACH BLVD, LONG BEACH, MS 39560-6259
(228) 563-1912
(228) 214-3272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C4634
MS
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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