Carlissa Washington

NPI #1316400294 in Holly Springs, Mississippi

Provider Information

NPI Number: 1316400294
Entity Type: Individual
Name: Carlissa Washington
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Apr 9, 2019
Last Updated: Apr 9, 2019

Practice Location

Address: 175 WHALEY DR STE B&C
City: Holly Springs
State: Mississippi
ZIP Code: 38635-3253
Phone: (662) 247-3220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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