Provider Demographics
NPI:1396901179
Name:DEDEAUX-HOWELL, VALENCIA E (MSW)
Entity type:Individual
Prefix:MS
First Name:VALENCIA
Middle Name:E
Last Name:DEDEAUX-HOWELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11031 JASON DR
Mailing Address - Street 2:
Mailing Address - City:PASS CHRISTIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39571-6501
Mailing Address - Country:US
Mailing Address - Phone:228-547-0352
Mailing Address - Fax:228-255-0286
Practice Address - Street 1:11031 JASON DR
Practice Address - Street 2:
Practice Address - City:PASS CHRISTIAN
Practice Address - State:MS
Practice Address - Zip Code:39571-6501
Practice Address - Country:US
Practice Address - Phone:228-547-0352
Practice Address - Fax:228-255-0286
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker