Individual
MS. STACEY ELIZABETH ALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
877 NORTHPARK DR STE 400, RIDGELAND, MS 39157-5220
(769) 224-4234
Mailing address
PO BOX 319, RIDGELAND, MS 39158-0319
(601) 790-0020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8632
MS
Other
Enumeration date
10/31/2019
Last updated
05/23/2024
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