NPI 1043615313

Marian Allen, LMSW

Practitioner Clinical Social Worker Hattiesburg, MS

Practice location

Address: 4100 Mamie St, Hattiesburg, MS 39402-1735
Phone: (601) 705-1906
Mailing address: 110 Patton Ave, Hattiesburg, MS 39401-6155

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence M5242 (MS)

Other Social Worker providers in Mississippi →

Registry record

NPI: 1043615313
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2014
Record last updated: 29 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.