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1053969097
MELISSA SOUTHALL BROOME
VICKSBURG, MS
NPI
1053969097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MS 220005)
Enumeration Date
2019-09-03
Last Update Date
2022-01-24
Business Address
MELISSA SOUTHALL BROOME BCBA
2222 S FRONTAGE RD
VICKSBURG, MS 39180-5271
Phone number: 601-852-3271
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Mailing Address
MELISSA SOUTHALL BROOME BCBA
2222 S FRONTAGE RD
VICKSBURG, MS 39180-5271
Phone number: 601-218-5497
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