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Provider Information for 1831589779


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JANEKA MCGEE LCSW


Sex: Female

NPI: 1831589779
Last Updated: 2024-10-17
Certification Date: 2024-10-17

Details

NameValue
NPI1831589779
Enumeration Date2015-01-30
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 302 N JACKSON ST
STARKVILLE, MS 39759-2504
United States

Phone: 662-323-9318 | Fax:662-323-5553
 
Primary Practice Address 102 AVONDALE ST
STARKVILLE, MS 39759-7019
United States

Phone: 662-832-7174 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker MSC8109