The W: Therapeutic Group, Llc | |
104 Owens St Marks MS 38646-2104 | |
(662) 441-2056 | |
Not Available |
Full Name | The W: Therapeutic Group, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 104 Owens St, Marks, Mississippi |
Authorized Official Name and Position | Loretta Jackson Walker (CO-OWNER/MANAGER) |
Authorized Official Contact | 6624412056 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The W: Therapeutic Group, Llc 104 Owens St Marks MS 38646-2104 Ph: (662) 441-2056 | The W: Therapeutic Group, Llc 104 Owens St Marks MS 38646-2104 Ph: (662) 441-2056 |
NPI Number | 1174324560 |
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Provider Enumeration Date | 03/21/2025 |
Last Update Date | 05/14/2025 |
Certification Date | 05/14/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174324560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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