| Mr Willie Andrew Pole Jr, LCSW | |
|
1502 S Colorado St, Greenville, MS 38703-7219 | |
| (662) 332-9872 | |
| Not Available |
| Full Name | Mr Willie Andrew Pole Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1502 S Colorado St, Greenville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376196238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C7780 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Willie Andrew Pole Jr, LCSW 1717 Fairgrounds Rd Apt I2, Greenville, MS 38703-7839 Ph: (662) 592-2451 | Mr Willie Andrew Pole Jr, LCSW 1502 S Colorado St, Greenville, MS 38703-7219 Ph: (662) 332-9872 |
Mary Sims-johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 Arnold Ave, Greenville, MS 38701 Phone: 800-632-6074 Fax: 866-341-7509 | |
Lynda Lavers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1654 E Union St, Greenville, MS 38703 Phone: 662-335-5274 Fax: 662-378-3976 | |
Lee R Paige Jr., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1654 E Union St, Greenville, MS 38703 Phone: 662-335-5274 Fax: 662-378-3976 |