IndividualActive
Annette Bryant, LCSW
NPI 1407878663 · Clinical Social Worker · Vicksburg, MS
Provider details
- NPI number
- 1407878663
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- C6582 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1107 Openwood St
Vicksburg, MS 39183
Phone: (601) 831-4402
Fax: (601) 206-0672
Approximate (ZIP-level) locationGet directions
Mailing address
113 Woodstone Dr
Vicksburg, MS 39183-8319
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2018-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.