Doctor Name: | MS. MARY C WORLDS |
NPI Number: | 1326229915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C6428 |
Business Practice Address: | 6460 Bentley Cv Horn Lake, MS - 386377323 |
Business Phone Number: | 6629100425 |
Business Fax Number: | 6623577396 |
Mailing Address: | 6460 Bentley Cv, HORN LAKE |
State: | MS |
Postal Code: | 386377323 |
Phone Number: | 6629100425 |
Fax Number: | 6623577396 |
NPI Enumeration Date: | 11/24/2007 |
NPI Last Update Date: | 11/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C6428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |