MAMIE RUTH WAITES

MADISON, MS
NPI1992578538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MS  10084)
Additional Taxonomies104100000X Social Worker
(Licence: TX  106285)
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
MAMIE RUTH WAITES
440 HOLLY HEDGE DR
MADISON, MS 39110-9636
Phone number: 601-521-2392
Mailing Address
MAMIE RUTH WAITES
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471