Wilson-sigrest, Llc | |
357 Towne Center Blvd. Suite 203 Ridgeland MS 39157 | |
(601) 398-5436 | |
Not Available |
Full Name | Wilson-sigrest, Llc |
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Speciality | Social Worker - Clinical |
Location | 357 Towne Center Blvd., Ridgeland, Mississippi |
Authorized Official Name and Position | Jennifer Sigrest (MEMBER MANAGER) |
Authorized Official Contact | 6013985436 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wilson-sigrest, Llc 103 Hillcrest Dr Clinton MS 39056-4309 Ph: (601) 398-5436 | Wilson-sigrest, Llc 357 Towne Center Blvd. Suite 203 Ridgeland MS 39157 Ph: (601) 398-5436 |
NPI Number | 1508110917 |
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Provider Enumeration Date | 11/07/2012 |
Last Update Date | 11/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508110917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC 0557 (Mississippi) | Secondary |
1041C0700X | Social Worker - Clinical | C5370 (Mississippi) | Primary |
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