Individual
DEBRA DIANN WUICHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
302 S SPRING ST, TUPELO, MS 38804-4853
(662) 205-0098
(662) 495-4079
Mailing address
503 MAURY CIR, TUPELO, MS 38801-4109
(662) 231-0310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
261QR0405X
MS
Other
Enumeration date
08/09/2020
Last updated
06/13/2023
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