Individual
CATHERINE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
417 W CANAL ST, PICAYUNE, MS 39466-3951
(601) 749-9477
(601) 749-0605
Mailing address
417 W CANAL ST, PICAYUNE, MS 39466-3951
(601) 749-9477
(601) 749-0605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C11319
MS
Other
Enumeration date
09/15/2021
Last updated
03/31/2026
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