Maria J Knickerbocker LCSW

NPI 1689863359 - Social Worker - 1041C0700X

NPI Details
NPI 1689863359
Gender Female
Enumeration Date 10/18/2007
Last Updated 10/18/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
118 COLLEGE DR # 5163
HATTIESBURG MS, 39406-0001, US
Phone (601) 266-5163
Fax (601) 266-5114
Business Location
118 COLLEGE DR # 5163
HATTIESBURG MS, 39406-0001, US
Phone (601) 266-5163
Fax (601) 266-5114
Toxanomy
Taxonomy Code 1041C0700X
License State Mississippi
License Number C6975
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According to our database, Maria J Knickerbocker LCSW NPI is 1689863359, taxonomy code is 1041C0700X and license number is C6975, license state is located at Mississippi. Maria J Knickerbocker LCSW physically located at 118 College Dr # 5163, Hattiesburg MS, 39406-0001. NPI Number Maria J Knickerbocker LCSW has the Individual type.

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1689863359 NPI number is provided on an as is basis without warranty of any kind. 1689863359 is maintained by the National Plan & Provider Enumeration System. The contents of Maria J Knickerbocker LCSW are for informational purposes only.