Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003152133 |
---|---|
Provider Name | Mrs. Cassie Alicia Helms |
First Address | Oxford, MS 38655-5392 |
Second Address | Oxford, MS 38655-5392 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2012 |
Last Update Date | 18/12/2012 |