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1063236123
ERNEST BODIE
HATTIESBURG, MS
NPI
1063236123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MS 4049)
Enumeration Date
2024-11-14
Last Update Date
2024-11-14
Business Address
ERNEST BODIE PCCSS
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 604-544-4641
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Mailing Address
ERNEST BODIE PCCSS
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number:
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