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Contact Information

BRENDA CHILDRESS, BS
3407 SHAMROCK CT
GAUTIER, MS39553-5337
 Phone: 228-497-0690
 Fax: 228-497-1363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for BRENDA CHILDRESS · (Female)

NPI Number 1609321413
Status Active
Credentials BS
Entity Individual
Enumeration date 08/22/2016
Last updated 08/22/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS Medicaid 00018214
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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