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1083905285
LISA MARIE DESSELLES
JACKSON, MS
NPI
1083905285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: LA 4925)
Enumeration Date
2011-04-22
Last Update Date
2011-04-22
Business Address
LISA MARIE DESSELLES LCSW
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
LISA MARIE DESSELLES LCSW
806 CARLTON PARK DR
FLOWOOD, MS 39232-5525
Phone number: 225-281-5433
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