Mary R. Stock, Phd, Lcsw, LLC
NPI #1629381728 in Diamondhead, Mississippi
Provider Information
- NPI Number
- 1629381728
- Entity Type
- Organization
- Organization Name
- Mary R. Stock, Phd, Lcsw, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 17, 2010
- Last Updated
- Jul 17, 2010
Practice Location
- Address
- 4423 LEISURE TIME DR
- City
- Diamondhead
- State
- Mississippi
- ZIP Code
- 39525-3221
- Phone
- (228) 216-0130
Authorized Official
- Name
- MARY R STOCK, PHD, LCSW
- Title
- LICENSED CLINICAL SOCIAL WORKER
- Phone
- (228) 216-0130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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