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General NPI Number Information
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NPI Number | 1184797680
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Entity Type | Organization
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Legal Business Name | PRISCILLA PEARSON, LCSW, INC.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 840 E RIVER PL SUITE 504
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City | JACKSON
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State | MS
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Zip | 39202-3493
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Country | US
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Telephone | 601-355-2060
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Fax | 601-969-7160
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Provider Business Mailing Address
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Address Line | 840 E RIVER PL SUITE 504
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City | JACKSON
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State | MS
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Zip | 39202-3493
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Country | US
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Telephone | 601-355-2060
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Fax | 601-969-7160
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRISCILLA PEARSON
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Credential | L.C.S.W.
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Telephone | 601-355-2060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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