Individual
ANDREA FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1551 E COUNTY LINE RD, JACKSON, MS 39211-1801
(601) 957-7343
Mailing address
1551 E COUNTY LINE RD, JACKSON, MS 39211-1801
(601) 957-7343
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
W8742
MS
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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