Most Relevant Information
Provider Data
| NPI Number: | 1003699034 |
| Provider Name: | RILEY HERRIN MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | C9594 |
Most Important Dates
| Enumeration Date: | 08/15/2023 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
516 W LAUREL AVE
HATTIESBURG
MS
39401
Practice Location Phone/Fax
| Phone: | 6016060561 |
| Fax: |
Provider Mailing Location
486 OLD RICHBURG RD
PURVIS
MS
394753128
Provider Mailing Phone/Fax
| Phone: | 6014477286 |
| Fax: |