Individual
CHRISTY AINSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 TRACE COVE DR, MADISON, MS 39110-9265
(601) 668-1083
Mailing address
140 TRACE COVE DR, MADISON, MS 39110-9265
(601) 668-1083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5594
MS
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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