STACEY M WAITES

JACKSON, MS
NPI1427093707
Former NameSTACEY MCGEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  C2016)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: MS  C2016)
Enumeration Date2006-06-19
Last Update Date2007-08-16
Business Address
-- STACEY M WAITES LCSW
248 E CAPITOL ST 840 TRUST MARK BLDG
JACKSON, MS 39201-2503
Phone number: 800-632-6074
Mailing Address
-- STACEY M WAITES LCSW
107 BEAVER CREEK LN
VICKSBURG, MS 39180-9190
Phone number: 601-630-0130