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1083733182
MICHAEL K TRAYLOR
JACKSON, MS
NPI
1083733182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MS TO349)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
MR. MICHAEL K TRAYLOR L.M.F.T.
431 N STATE ST
JACKSON, MS 39201-1108
Phone number: 601-949-1949
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Mailing Address
MR. MICHAEL K TRAYLOR L.M.F.T.
7068 EDGEWATER DR
RIDGELAND, MS 39157-1011
Phone number: 601-949-1949
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