Jerry R Alliston, LMSW Valid NPI
Individual provider · Social Worker · Hattiesburg, MS
- NPI
- 1669661328
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- M6461 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-10-18
- Last updated
- 2007-10-18
Practice location
118 College Dr # 5163
Hattiesburg, MS 39406-0001
(601) 266-5163