Waites, Mamie Ruth

Waites, Mamie Ruth is an individual health care provider with primary practice located at 440 Holly Hedge Dr , Madison MS 39110-9636. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Waites, Mamie Ruth can be contacted via phone (601) 521-2392.

Contact Information

Primary practice address
440 Holly Hedge Dr Madison MS 39110-9636
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 106285 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X 10084 Mississippi

Profile Details

NPI number 1992578538
LBN Legal business name Waites, Mamie Ruth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2023
Last updated Nov 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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