Individual
MRS. CARLA JO WILEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-6416
Mailing address
PO BOX 764, FULTON, MS 38843-0764
(662) 862-3453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
M7451
MS
Other
Enumeration date
09/24/2006
Last updated
02/14/2008
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