KELLY BUCKHOLDT

JACKSON, MS
NPI1083024079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: MS  54955)
Enumeration Date2014-04-30
Last Update Date2016-04-26
Business Address
-- KELLY BUCKHOLDT Ph.D.
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-364-7903
Mailing Address
-- KELLY BUCKHOLDT Ph.D.
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-364-7903
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