Rebecca Banahan Avery, LCSW

NPI #1235293762 in Oxford, Mississippi

Provider Information

NPI Number
1235293762
Entity Type
Individual
Name
Rebecca Banahan Avery, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 20, 2006
Last Updated
Feb 1, 2016

Practice Location

Address
428 N LAMAR BLVD
Address 2
STE 113
City
Oxford
ZIP Code
38655-3221
Phone
(662) 234-4876

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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