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1053743690
LEAH VENUS GADDIS
GAUTIER, MS
NPI
1053743690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 1508)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
Mrs. LEAH VENUS GADDIS M.S.
2012 HIGHWAY 90 STE 34
GAUTIER, MS 39553-5305
Phone number: 228-809-2281
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Mailing Address
Mrs. LEAH VENUS GADDIS M.S.
2012 HIGHWAY 90 STE 34
GAUTIER, MS 39553-5305
Phone number:
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