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1043615313
MARIAN ALLEN
HATTIESBURG, MS
NPI
1043615313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS M5242)
Enumeration Date
2014-10-29
Last Update Date
2014-10-29
Business Address
-- MARIAN ALLEN LMSW
4100 MAMIE ST
HATTIESBURG, MS 39402-1735
Phone number: 601-705-1906
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Mailing Address
-- MARIAN ALLEN LMSW
110 PATTON AVE
HATTIESBURG, MS 39401-6155
Phone number: 601-582-1111
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