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1073796413
SHELLEY S FOREMAN
GULFPORT, MS
NPI
1073796413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MS 1304)
Enumeration Date
2007-12-07
Last Update Date
2007-12-07
Business Address
SHELLEY S FOREMAN LPC
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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Mailing Address
SHELLEY S FOREMAN LPC
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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