Jennifer Baker Sheridan
Social Worker, Clinical in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1962019745
StatusActive
Last updated in NPPESSep 25, 2020
Details
- NPI
- 1962019745
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Baker Sheridan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2020
- Certification date
- Sep 25, 2020
- Last updated
- Sep 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C7894 | MS | Yes |
Practice location
615 W Pine StHattiesburg, MS 39401-3835
Phone 601-795-1564
Mailing address
2 Dogwood CirPetal, MS 39465-4142
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