MS. Wanda Grace Mccullough, LCSW
NPI #1083994701 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1083994701
- Entity Type
- Individual
- Name
- MS. Wanda Grace Mccullough, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 25, 2011
- Last Updated
- Aug 25, 2011
Practice Location
- Address
- 332 HIGHWAY 12 W
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3209
- Phone
- (662) 289-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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