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1043584451
BRENDA WALKER
JACKSON, MS
NPI
1043584451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS 0053)
Enumeration Date
2012-03-02
Last Update Date
2012-03-02
Business Address
-- BRENDA WALKER
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
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Mailing Address
-- BRENDA WALKER
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
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